Gowdar & Gowdar MD SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GOWDAR & GOWDAR MD SC

Doing business as

Gowdar & Gowdawr MD SC

Practice address

741 W Pershing Rd
Decatur, IL 62526

Phone

(217) 876-7200

Fax

(217) 876-7233

NPI assigned

Apr 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Prasanna Gowdar, MDNPI 1316023559

Title

Owner

Phone

(217) 876-7200

Specialties & licenses 1

Addresses

Other names 1

• Gowdar & Gowdawr MD SC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prasanna Gowdar, MD

  • Family Medicine Physician
  • Decatur, IL
  • NPI 1316023559
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154549533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 W PERSHING RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62526",
            "telephone_number": "217-876-7200",
            "fax_number": "217-876-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 W PERSHING RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62526",
            "telephone_number": "217-876-7200",
            "fax_number": "217-876-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOWDAR & GOWDAR MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOWDAR",
        "authorized_official_first_name": "PRASANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-876-7200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gowdar & Gowdawr MD SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Golden
• Mary Ann Good, PA
• Goodwin Counseling and Wellness, PLLC
• Robert Lesley Goodwin, LPC
• Nancy Ainsworth Gorden, P.T.A.
• Kusuma Gowdar, MD
• Prasanna Gowdar, MD
• Natalie K Gower, M.S. CCC-SLP
• Geniel Grabowski, LCSW
• Terrence M Graham, DPM,FACFAS

• Family Medicine Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.