Praveen B Gulati, MD is a
Radiology - Diagnostic Ultrasound physician based in Southbridge, Massachusetts. Praveen B Gulati is licensed to practice in Massachusetts (license number 46377) and her current practice location is 100 South St, Southbridge, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 765-9771.
NPI number for Praveen B Gulati is 1750350575 and her current mailing address is 79 Sayles St, Southbridge, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750350575.
Physician's Profile
Full Name | Praveen B Gulati |
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Gender | Female |
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Speciality | Radiology - Diagnostic Ultrasound |
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Location | 100 South St, Southbridge, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750350575
- Provider Enumeration Date: 03/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Praveen B Gulati such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750350575 | NPI | - | NPPES |
2090244 | Medicaid | MA | |
38409 | Other | MA | FALLON COMMUNITY HLTH PLA |
J09884 | Other | MA | BLUE SHIELD |
316123 | Other | MA | TUFTS HEALTH PLAN |
24783 | Other | MA | HARVARD PILGRIM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085N0904X | Radiology - Nuclear Radiology | 46377 (Massachusetts) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 46377 (Massachusetts) | Primary |
2085U0001X | Radiology - Diagnostic Ultrasound | 46377 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Praveen B Gulati is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Praveen B Gulati, MD 79 Sayles St, Southbridge, MA 01550-1729 Ph: (508) 764-0482 | Praveen B Gulati, MD 100 South St, Southbridge, MA 01550-4051 Ph: (508) 765-9771 |
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