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Contact Information

CHARAN MUNGARA, MD
353 FAIRMONT BLVD, MONUMENT HEALTH RAPID CITY HOSPITAL
RAPID CITY, SD57701-7375
 Phone: 205-441-9459
 Fax: 605-755-0707
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHARAN MUNGARA · (Male)

NPI Number 1649423872
Status Active
Credentials MD
Entity Individual
Enumeration date 10/31/2008
Last updated 08/11/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 11971
  • IN Medicaid 201029750
  • WI Medicaid 1649423872
  • IN Other 000000727503 ANTHEM PROVIDER NUMBER
Hospital affiliation(s)
  • RAPID CITY REGIONAL HOSPITAL - (Acute Care)
    353 FAIRMONT BLVD POST OFFICE BOX 6000
    RAPID CITY, SD 57701
  • SPEARFISH REGIONAL HOSPITAL - (Acute Care)
    1440 N MAIN ST
    SPEARFISH, SD 57783
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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