| Anu Gowda Md Llc | |
|
11618 Frankstown Rd Pittsburgh PA 15235-3319 | |
| (412) 731-7170 | |
| (412) 731-7172 |
| Full Name | Anu Gowda Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11618 Frankstown Rd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Anuradha Gowda (PRESIDENT) |
| Authorized Official Contact | 4127317170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anu Gowda Md Llc 11618 Frankstown Rd Pittsburgh PA 15235-3319 Ph: (412) 731-7170 | Anu Gowda Md Llc 11618 Frankstown Rd Pittsburgh PA 15235-3319 Ph: (412) 731-7170 |
| NPI Number | 1073634036 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 06/18/2009 |
| Medicare PECOS PAC ID | 3173675782 |
|---|---|
| Medicare Enrollment ID | O20090713000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073634036 | NPI | - | NPPES |
| 0016217600002 | Medicaid | PA | |
| 1375267 | Other | PA | BLUE SHIELD PROV# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD060383L (Pennsylvania) | Primary |
| Provider Name | Anuradha Gowda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164459699 PECOS PAC ID: 2567514177 Enrollment ID: I20090713000348 |
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