IndividualActive
Tejaswi Mudigonda, M.D.
NPI 1891143277 · MOHS-Micrographic Surgery Physician · Lake Havasu City, AZ
Provider details
- NPI number
- 1891143277
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 68967 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1801 Mesquite Ave
Lake Havasu City, AZ 86403-5668
Phone: (928) 854-5400
Fax: (928) 216-4165
Approximate (ZIP-level) locationGet directions
Mailing address
9097 W Post Rd Ste 100
Las Vegas, NV 89148-2417
Additional practice locations (6)
- 10101 Ramsey WaySuite aDickson, TN 37055Phone: (615) 314-1699Fax: (615) 622-8905
- 1630 Nashville Pike Ste 200Gallatin, TN 37066-5266Phone: (615) 675-0444
- 1424 W Baddour Pkwy Ste GLebanon, TN 37087-2685Phone: (615) 314-1699Fax: (615) 622-8905
- 147 Uptown SqMurfreesboro, TN 37129-0571Phone: (615) 314-1699Fax: (615) 622-8905
- 1900 Patterson St Ste 201Nashville, TN 37203-2165Phone: (615) 314-1699Fax: (615) 622-8905
- 491 Sage Rd N Ste 300White House, TN 37188-9361Phone: (615) 675-0444
Registry dates
- Enumerated
- 2016-05-26
- Last updated
- 2026-03-19
- Certified
- 2026-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.