Srisudha Reddy Gundala, MD | |
2800 Keslinger Rd Ste 160, Geneva, IL 60134-3753 | |
(630) 232-7200 | |
(630) 232-2288 |
Full Name | Srisudha Reddy Gundala |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2800 Keslinger Rd Ste 160, Geneva, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679571236 | NPI | - | NPPES |
036099196 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036099196 (Illinois) | Primary |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Srisudha Reddy Gundala, MD 2800 Keslinger Rd Ste 160, Geneva, IL 60134-3753 Ph: (630) 232-7200 | Srisudha Reddy Gundala, MD 2800 Keslinger Rd Ste 160, Geneva, IL 60134-3753 Ph: (630) 232-7200 |
Diane C Nielsen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Keslinger Rd Ste 160, Geneva, IL 60134 Phone: 630-232-7200 Fax: 630-232-2288 | |
Dr. Laura J Mcquade, SLPD, CCC-SLP, PLLC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1816 Allen Dr, Geneva, IL 60134 Phone: 331-330-5353 | |
Dr. Sissay Z Anberber, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2800 Keslinger Rd Ste 160, Geneva, IL 60134 Phone: 630-232-7200 Fax: 630-232-2288 | |
Paula Conrin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 302 Randall Rd, Suite 102, Geneva, IL 60134 Phone: 630-232-7200 Fax: 630-232-2288 |