Preet Gudimella, MD | |
24 Hyde St, Wakeman, OH 44889-9301 | |
(440) 839-2226 | |
(440) 839-1339 |
Full Name | Preet Gudimella |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 24 Hyde St, Wakeman, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265993729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35.146400 (Ohio) | Primary |
Entity Name | Fisher-titus Medical Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467636399 PECOS PAC ID: 6507940566 Enrollment ID: O20080228000695 |
Mailing Address | Practice Location Address |
---|---|
Preet Gudimella, MD 272 Benedict Ave, Norwalk, OH 44857-2374 Ph: (419) 668-8101 | Preet Gudimella, MD 24 Hyde St, Wakeman, OH 44889-9301 Ph: (440) 839-2226 |
Samuel E Ross, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Hyde St, Wakeman, OH 44889 Phone: 440-839-2226 Fax: 440-839-1339 | |
Christina A Canfield, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Hyde St, Wakeman, OH 44889 Phone: 440-839-2226 Fax: 440-839-1591 | |
Preeti Gudimella, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 Hyde St, Wakeman, OH 44889 Phone: 440-839-2226 Fax: 440-839-1339 |