Madhav a Gudi, MD, PLLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

122837 Issued in NY

Legal business name

MADHAV A GUDI, MD, PLLC

Practice address

8721 5TH Ave
Brooklyn, NY 11209-5230

Phone

(718) 745-0860

NPI assigned

Oct 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Madhav A Gudi, MD

Title

Sole Owner

Phone

(718) 930-5230

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Robolge Lenora, MD

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1568552313

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1497183974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 83RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283035",
            "telephone_number": "718-745-0860",
            "fax_number": "347-560-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8721 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095230",
            "telephone_number": "718-745-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADHAV A GUDI, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "GUDI",
        "authorized_official_first_name": "MADHAV",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "718-930-5230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "122837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002797722",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Mader
• Noemi Madera
• Nicholas P Madero, DC
• Katherine Madges, LCSW
• Kamraan Madhani
• Madhavi Reddy MD PC
• Leopoldine Madhere
• Luenda Madhi
• Madhumati R Kalavar, MD, PC
• Pillai Pallavi Madhusoodhan, M.D

• Health Maintenance Organization in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.