SUDHEER TANGELLA MD – NPI #1124382536
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

SUDHEER TANGELLA is a physician located in JACKSON, MS. NPPES has assigned the NPI number 1124382536 to SUDHEER TANGELLA on June 29, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUDHEER TANGELLA below.

NPI Profile for
SUDHEER TANGELLA

NPI Number
1124382536
Enumeration Date

(about 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SUDHEER TANGELLA
Credentials
MD
Primary location
878 LAKELAND DR
JACKSON, MS 39216-4644
Phone: (601) 984-6800 Fax: (601) 984-6811
Mailing address
PO BOX 4999
JACKSON, MS 39296-4999
Phone: (601) 984-5426 Fax: (601) 984-6889
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
MS 836-L

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SUDHEER TANGELLA is affiliated with the following medical group(s):
  • HOSPITAL
    • MISSISSIPPI BAPTIST MEDICAL CENTER
      1225 N STATE ST
      JACKSON, MS 39202
  • HOME HEALTH AGENCY
    • MISSISSIPPI HOMECARE OF JACKSON
      1200 NORTH STATE STREET, SUITE 200
      JACKSON, MS 39202

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