person
Dr. Prasad R. Gudavalli, MD
Specialist in Brooklyn, New York
NPI 1497750046

Prasad R. Gudavalli is a Specialist based in Brooklyn, NY. Prasad R. Gudavalli practices in Brooklyn, NY and has the professional credentials of MD. The NPI Number for Prasad R. Gudavalli is 1497750046 and holds a License No. 128146 (New York).

The current practice location address for Prasad R. Gudavalli is 7702 - 16Th Ave, Brooklyn, NY and can be reached out via phone at 718-645-2929 and via fax at 718-621-4119.

Location: 7702 - 16Th Ave, Brooklyn, NY, 11214-1002
person
Provider Profile Details
NPI Number
1497750046
Provider Name
Prasad R. Gudavalli
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7702 - 16Th Ave, Brooklyn, NY, 11214-1002
Phone Number
718-645-2929
Fax Number
718-621-4119
Provider Enumeration Date
06/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00366349 05 NY
0046803 01 NY GROUP HEALTH INC.
069508793 01 NY UNITED HEALTHCARE
1000016766 01 NY AFFINITY
4556190 01 NY CIGNA HEALTHCARE
OXFORD 01 NY P393018
069508709 01 NY OXFORD HEALTH PLAN
07A361 01 NY BLUE CROSS & BLUE SHIELD
97367 01 NY AETNA US HEALTHCARE
128146-A21 01 NY HEALTHFIRST
0C0646 01 NY HEALTHNET
institution
Provider Business Practice Location Address Details
Address
7702 - 16Th Ave
City
State
Zip
11214-1002
Phone Number
718-645-2929
Fax Number
718-621-4119
person
Provider Business Mailing Address Details
Address
7702 - 16Th Ave
City
State
Zip
11214-1002
Phone Number
718-645-2929
Fax Number
718-621-4119
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
128146 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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