Gundumalla S Goud MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35044133 Issued in OH

Legal business name

GUNDUMALLA S GOUD MD INC

Practice address

7529 Fredle Dr
Concord TWP, OH 44077-9406

Phone

(440) 350-7444

Fax

(440) 350-7440

NPI assigned

May 9, 2008

Organization subpart

No

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

Authorized official

Name

Gundumalla S Goud, MD

Title

President

Phone

(440) 350-7444

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Kendra Lea Mahaffey, O.D.

  • Optometrist
  • Concord TWP, OH
  • NPI 1982612289
  NPD (past)

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1447427414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7529 FREDLE DR",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-350-7444",
            "fax_number": "440-350-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7529 FREDLE DR",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779406",
            "telephone_number": "440-350-7444",
            "fax_number": "440-350-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDUMALLA S GOUD MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "GOUD",
        "authorized_official_first_name": "GUNDUMALLA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-350-7444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35044133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0468480",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110001483A",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fioritto Family Dental Concord, LLC
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• Samantha Froimson
• Gundumalla S Goud, M.D.
• Karen Renee Grassie, M.D.
• Healthspan Integrated Care
• Catherine E Helkey, AU.D.
• Greg Hoffert
• Daniel L Hofius, DO
• Home Care of Lake County

• Internal Medicine Physician in Concord TWP, OH
• Providers in Concord TWP, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.