Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TEJASWI VENKATA MUDIGONDA, M.D.
Active Sole ProprietorDR. TEJASWI VENKATA MUDIGONDA, M.D. is a Obesity Medicine healthcare provider located in LAKE HAVASU CITY, Arizona. NPI 1891143277 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · LAKE HAVASU CITY, AZ
Registration Details
- NPI Number
- 1891143277
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2016 (10.230560839399 yrs)
- Last Updated
- Jul 17, 2025
- Licenses
-
73704 (AZ)68967 (TN)68967 (TN)68967 (TN)68967 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1801 MESQUITE AVELAKE HAVASU CITY, AZ, 864035668Browse AZ providers · Browse ZIP 86403
- Phone
- 9288545400
- Fax
- 9282164165
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Dermatology
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- Dermatopathology
- Additional Specialty
- Procedural Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.