Sriharsha Gummadi, MD | |
100 E Lancaster Ave, Mob South Suite 422, Wynnewood, PA 19096-3450 | |
(484) 476-2169 | |
Not Available |
Full Name | Sriharsha Gummadi |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 100 E Lancaster Ave, Wynnewood, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952798910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD461912 (Pennsylvania) | Primary |
Entity Name | Jefferson University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232 |
Entity Name | Grand View Hospital |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1821286097 PECOS PAC ID: 8022001924 Enrollment ID: O20080522000278 |
Entity Name | University Of Penn - Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
Entity Name | University Of Penn - Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053447151 PECOS PAC ID: 6204730955 Enrollment ID: O20150304001436 |
Mailing Address | Practice Location Address |
---|---|
Sriharsha Gummadi, MD 100 E Lancaster Ave, Mob South Suite 422, Wynnewood, PA 19096-3450 Ph: (484) 476-2169 | Sriharsha Gummadi, MD 100 E Lancaster Ave, Mob South Suite 422, Wynnewood, PA 19096-3450 Ph: (484) 476-2169 |
Dr. Robert D. Smink Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 610-642-1908 Fax: 610-642-6808 | |
Arvind Sabesan, Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave Ste 275, Wynnewood, PA 19096 Phone: 610-642-1908 | |
Dr. Thais Reif De Paula, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Mob South 422, Wynnewood, PA 19096 Phone: 484-476-1619 Fax: 484-476-3354 | |
Charles Douglas Neff, Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-1619 | |
Pranjal Thosani, DO Surgery Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-2000 | |
Dr. W Randall Russell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Suite 151 Lankenau Mob East, Wynnewood, PA 19096 Phone: 484-476-6492 Fax: 484-476-8147 | |
Dr. Barry D Mann, MD Surgery Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Suite 275 Med Sci Bldg, Wynnewood, PA 19096 Phone: 610-642-1908 Fax: 610-642-6808 |