| Gopal B. Reddy , M.d., P.c. | |
|
11890 Healing Way Silver Spring MD 20904-7917 | |
| (443) 964-5950 | |
| (410) 257-7042 |
| Full Name | Gopal B. Reddy , M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 11890 Healing Way, Silver Spring, Maryland |
| Authorized Official Name and Position | Gopal B Reddy (PRESIDENT) |
| Authorized Official Contact | 3015525696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gopal B. Reddy , M.d., P.c. Po Box 808 Merrifield VA 22116-2808 Ph: (301) 552-5696 | Gopal B. Reddy , M.d., P.c. 11890 Healing Way Silver Spring MD 20904-7917 Ph: (443) 964-5950 |
| NPI Number | 1346438330 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 06/06/2023 |
| Medicare PECOS PAC ID | 7517045784 |
|---|---|
| Medicare Enrollment ID | O20080429000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346438330 | NPI | - | NPPES |
| 033777300 | Medicaid | DC | |
| 136603300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | D0053670 (Maryland) | Primary |
| Provider Name | Gopal B Reddy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588758874 PECOS PAC ID: 0244318426 Enrollment ID: I20100907000724 |
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