Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tejaswi Venkata Mudigonda, MD

Individual provider Dermatology Physician · NPI 1891143277

Dr. Tejaswi Venkata Mudigonda, MD is a Dermatology in Lake Havasu City, Arizona. Graduated from Vanderbilt University School of Medicine in 2016, 10 years ago. Practices as a sole proprietor, works from 7 locations and accepts Medicare assignment. Licensed in Arizona and Tennessee.

Years since qualifying
10
Trained at
Vanderbilt University School of Medicine
Licensed in
AZ, TN
In the registry since
2016
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1801 Mesquite Ave
Lake Havasu City, AZ 86403-5668
Phone: (928) 854-5400
Fax: (928) 216-4165
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 10101 Ramsey Way, Dickson, TN 37055 — (615) 314-1699
  • 1630 Nashville Pike Ste 200, Gallatin, TN 37066-5266 — (615) 675-0444
  • 1424 W Baddour Pkwy Ste G, Lebanon, TN 37087-2685 — (615) 314-1699
  • 147 Uptown Sq, Murfreesboro, TN 37129-0571 — (615) 314-1699
  • 1900 Patterson St Ste 201, Nashville, TN 37203-2165 — (615) 314-1699
  • 491 Sage Rd N Ste 300, White House, TN 37188-9361 — (615) 675-0444

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 73704 (AZ)
Dermatology Physician Taxonomy 207N00000X · Licence 68967 (TN)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 68967 (TN)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 68967 (TN)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 68967 (TN)

Record details

NPI number1891143277
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 26, 2016
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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