Dr Gayathri Sudhakar Rao, MD | |
599 Arcola Rd, Nemours Dupont Pediatrics, Collegeville, Collegeville, PA 19426-3954 | |
(302) 651-6660 | |
(302) 651-5345 |
Full Name | Dr Gayathri Sudhakar Rao |
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Gender | Female |
Speciality | Pediatrics |
Location | 599 Arcola Rd, Collegeville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538131297 | NPI | - | NPPES |
232359401 | Other | PA | MAIN LINE HEALTHCARE |
10934628 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD040876E (Pennsylvania) | Primary |
Entity Name | The Nemours Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902959653 PECOS PAC ID: 9537072483 Enrollment ID: O20040204000144 |
Mailing Address | Practice Location Address |
---|---|
Dr Gayathri Sudhakar Rao, MD Po Box 191, Provider Enrollment Department, Rockland, DE 19732-0191 Ph: (302) 651-6212 | Dr Gayathri Sudhakar Rao, MD 599 Arcola Rd, Nemours Dupont Pediatrics, Collegeville, Collegeville, PA 19426-3954 Ph: (302) 651-6660 |
Dr. Nicole Kulisek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Arcola Rd, Collegeville, PA 19426 Phone: 646-942-6148 | |
Elizabeth Ann Filler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3770 Ridge Pike, Collegeville, PA 19426 Phone: 484-832-8843 | |
Dr. Peter Bulkeley Langmuir, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1250 S Collegeville Rd, Collegeville, PA 19426 Phone: 215-805-3112 | |
Dr. Larissa F Dominy, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 555 South Second Avenue, Building B, Suite 200, Collegeville, PA 19426 Phone: 610-409-8050 Fax: 610-409-8075 | |
Dr. Perry D Nisen, M.D., PH.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1250 S Collegeville Rd, Up1455, Collegeville, PA 19426 Phone: 610-917-6754 Fax: 610-917-4181 | |
Shannon L. Vitelli, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 17 Iron Bridge Dr Ste 100, Collegeville, PA 19426 Phone: 484-622-6340 Fax: 484-622-6357 |