Gdg Square, Llc | |
22303 Dupont Blvd Georgetown DE 19947-2153 | |
(302) 440-4866 | |
Not Available |
Full Name | Gdg Square, Llc |
---|---|
Speciality | Internal Medicine |
Location | 22303 Dupont Blvd, Georgetown, Delaware |
Authorized Official Name and Position | Arushi Goel (OWNER) |
Authorized Official Contact | 5167275950 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gdg Square, Llc 17 Cinnamon Dr Hockessin DE 19707-1349 Ph: (516) 727-5950 | Gdg Square, Llc 22303 Dupont Blvd Georgetown DE 19947-2153 Ph: (302) 440-4866 |
NPI Number | 1801665617 |
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Provider Enumeration Date | 12/21/2023 |
Last Update Date | 12/21/2023 |
Medicare PECOS PAC ID | 1759724057 |
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Medicare Enrollment ID | O20240202002935 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801665617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Madhu S Prattipati |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790936193 PECOS PAC ID: 2769661438 Enrollment ID: I20110127000023 |
Provider Name | Sravanthy Pataparla |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346404589 PECOS PAC ID: 1456512532 Enrollment ID: I20150204000842 |
Provider Name | Neil C Gaskill |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336534700 PECOS PAC ID: 9133412596 Enrollment ID: I20200505000525 |
Provider Name | Hemal Patel |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1245626522 PECOS PAC ID: 2860741006 Enrollment ID: I20210119001313 |
Provider Name | Arushi Goel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992157408 PECOS PAC ID: 0143557371 Enrollment ID: I20220819002216 |
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