Dr Sunitha Valambige Mudalagiri Gowda, MD | |
2855 N Keystone Ave Ste 100, Indianapolis, IN 46218-2790 | |
(317) 957-2300 | |
(317) 957-2320 |
Full Name | Dr Sunitha Valambige Mudalagiri Gowda |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2855 N Keystone Ave Ste 100, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952619348 | NPI | - | NPPES |
300033318 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01083183A (Indiana) | Primary |
Entity Name | Healthnet Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780634964 PECOS PAC ID: 7214840933 Enrollment ID: O20031110000227 |
Mailing Address | Practice Location Address |
---|---|
Dr Sunitha Valambige Mudalagiri Gowda, MD 3403 E Raymond St, Indianapolis, IN 46203-4744 Ph: (317) 957-2000 | Dr Sunitha Valambige Mudalagiri Gowda, MD 2855 N Keystone Ave Ste 100, Indianapolis, IN 46218-2790 Ph: (317) 957-2300 |
Mohannad Moallem, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-274-4779 Fax: 317-948-9806 | |
Tracey Wilkinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr Ste 1300, Indianapolis, IN 46202 Phone: 317-962-8067 | |
Samuel J Flanders, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 N Shadeland Ave, Ste 200, Indianapolis, IN 46219 Phone: 317-962-4836 Fax: 317-962-8646 | |
Mark H Hoyer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 705 Riley Hospital Dr, Rr 127, Indianapolis, IN 46202 Phone: 317-274-8906 Fax: 317-274-4022 | |
Dr. Alka Khaitan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr Rr230, Indianapolis, IN 46202 Phone: 317-944-7260 | |
Dr. Leslie Anne Enane, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-944-7260 Fax: 317-948-0860 | |
Christine Nix, Pediatrics Medicare: Medicare Enrolled Practice Location: 750 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202 Phone: 317-944-4034 |