Subba R Gollamudi is a Memphis, Tennessee based male Ophthalmologist with 37 years of experience in Ophthalmology. He completed his graduation from Yale University School Of Medicine in 1987. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Subba R Gollamudi is MD0000021892 for Ophthalmology in Tennessee.
Subba R Gollamudi is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Subba R Gollamudi speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Ophthalmology |
| Credentials: | M.D. |
| Experience: | 37+ years |
| Medical School Attended: | Yale University School Of Medicine |
| Graduation Year: | 1987 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 825 Ridge Lake Blvd, Memphis,
Tennessee, 38120-9411 |
| Phone: | 901-685-2200 |
| Fax: | 901-820-2342 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6204819766 |
| Enrollment ID: | I20040903000821 |
| NPI Number: | 1154378735 |
| NPI Enumeration Date: | 28 May, 2006 |
| NPI Last Update On: | 25 Jul, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Subba R Gollamudi are as mentioned below.
| License Number | Specialization | State | Status | |
| MD0000021892 | Ophthalmology | Tennessee | Primary | |
| E-3527 | Ophthalmology | Arkansas | Secondary | |
| 16734 | Ophthalmology | Mississippi | Secondary | |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Subba R Gollamudi has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Vrf Eye Specialty Group, Plc (2264328723) | 19 |
| Vrf Eye Specialty Group, Plc (2264328723) | 19 |
| Vrf Eye Specialty Group, Plc (2264328723) | 19 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Subba R Gollamudi such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 121686001 | Medicaid | Arkansas | |
| 3067983 | Medicaid | Tennessee | |
| 00119845 | Medicaid | Mississippi | |
| 180018881 | Other | Tennessee | PALMETTO RR MEDICARE |
| 180042504 | Other | Mississippi | PALMETTO RR MEDICARE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 22510,
Jackson, Mississippi |
| Zip: | 39225-2510 |
| Phone Number: | 901-685-2200 |
| Fax Number: | 901-255-5631 |
Patients can reach Subba R Gollamudi at
825 Ridge Lake Blvd, Memphis, Tennessee or can
call to book an appointment on 901-685-2200. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.