Raghunath Gudibanda, MD | |
315 E Broadway Ste 185e, Louisville, KY 40202-3700 | |
(502) 629-5455 | |
(502) 629-4151 |
Full Name | Raghunath Gudibanda |
---|---|
Gender | Male |
Speciality | Pain Management |
Experience | 28 Years |
Location | 315 E Broadway Ste 185e, Louisville, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659418119 | NPI | - | NPPES |
50021428 | Other | KY | PASSPORT |
3552164000 | Other | KY | PASSPORT ADVANTAGE |
000023033X | Other | KY | HUMANA |
000000587053 | Other | KY | ANTHEM/NORTON |
098231 | Other | KY | SIHO |
200948520 | Medicaid | IN | |
7100064020 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0000X | Pain Medicine - Pain Medicine | 41448 (Kentucky) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 41448 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Norton Hospitals, Inc | Louisville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Medical Associates Inc | 7012811284 | 1179 |
Entity Name | Community Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
Mailing Address | Practice Location Address |
---|---|
Raghunath Gudibanda, MD Po Box 950202, Louisville, KY 40295-0202 Ph: (502) 969-6552 | Raghunath Gudibanda, MD 315 E Broadway Ste 185e, Louisville, KY 40202-3700 Ph: (502) 629-5455 |
Dr. Christopher R. Shafer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St, Suite 510, Louisville, KY 40202 Phone: 502-588-4800 Fax: 502-588-4801 | |
David James Haustein, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 220 Abraham Flexner Way # 1200, Louisville, KY 40202 Phone: 502-584-3377 | |
Elizabeth B. Shelton, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir, Ste 312, Louisville, KY 40207 Phone: 812-282-1888 Fax: 812-285-8392 | |
Manoocher Mofidi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2225 W Broadway, Louisville, KY 40211 Phone: 502-589-8600 Fax: 502-589-8771 | |
Dr. Steven B Lippmann, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 550 S Jackson St, Louisville, KY 40202 Phone: 502-852-1759 Fax: 502-852-5098 | |
Tanya Wozniak, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4201 Springhurst Blvd Ste 203, Louisville, KY 40241 Phone: 502-425-6690 Fax: 502-890-2092 | |
Bryan Jessop Eckerle, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3 Audubon Plaza Dr, Ll2, Louisville, KY 40217 Phone: 502-636-4940 Fax: 502-636-4941 |