MEDICARE: MUKUNDA MEDICAL GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1578267647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUKUNDA MEDICAL GROUP LLC

Provider Business Mailing Address
First Line	:	PO BOX 952041
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44193-0051
Country	:	US
Telephone Number	:	855-449-1540
Fax Number	:	440-672-5068

Provider Business Practice Location Address
First Line	:	6559 WILSON MILLS RD STE 106
Second Line	:
City	:	MAYFIELD VILLAGE
State	:	OH
Zip	:	44143-3433
Country	:	US
Telephone Number	:	855-449-1540
Fax Number	:	440-672-5068

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BEEJADI N MUKUNDA
Credential	:	MD
Telephone Number	:	855-449-1540

Provider Enumeration Date	:	03/30/2023
Last Update Date	:	11/21/2024

Similar Medicare Providers

1306719570 — KATY RIEKER CNP
Practice Location Address:

6559 WILSON MILLS RD STE 106A
MAYFIELD VILLAGE, OH
44143-3433

Practice Phone: 855-449-1540
Practice Fax:

1225087208 — BEEJADI N MUKUNDA M.D.
Practice Location Address:

6559 WILSON MILLS RD STE 106A
MAYFIELD VILLAGE, OH
44143-3433

Practice Phone: 855-449-1540
Practice Fax: 440-672-5068

1952552481 — ANABELLE MORALES MENA MD
Practice Location Address:

6559 WILSON MILLS RD , STE 106
MAYFIELD VILLAGE, OH
44143-3433

Practice Phone: 440-449-1540
Practice Fax: 440-460-2833

1851527022 — MRS. KRISTY NICOLE PERUSKO MSN/FAMILY NURSE PRA
Practice Location Address:

6559 WILSON MILLS ROAD , 106A
MAYFIELD VILLAGE, OH
44143-3433

Practice Phone: 440-449-1540
Practice Fax:

1912540543 — LYNDSEY RACHELLE DECESARE
Practice Location Address:

6559 WILSON MILLS RD STE 106A
MAYFIELD VILLAGE, OH
44143-3433

Practice Phone: 855-449-1540
Practice Fax: 440-672-5068

1043915770 — RAVI KRISHNAN MD LLC
Practice Location Address:

6559 WILSON MILLS RD STE 106
MAYFIELD VILLAGE, OH
44143-3433

Practice Phone: 855-449-1540
Practice Fax: 440-672-5068

Directions to “MUKUNDA MEDICAL GROUP LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.