Dr. Prabhavathi Gummalla
M.D | Pediatric Pulmonology | Female
Dr. Prabhavathi Gummalla, M.D is a Haddonfield, New Jersey based Pediatric doctor with medical specialization in
Pediatric Pulmonology.
Current practice location of Dr. Prabhavathi Gummalla is
2-10 Linden Ave, Haddonfield, New Jersey - 08033-2556. She can be contacted on phone at
917-715-5360.
Dr. Prabhavathi Gummalla is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Prabhavathi Gummalla is
1750700852 which was assigned by NPPES on 16 Apr, 2014 and it was last updated on 09 Feb, 2023.
Dr. Prabhavathi Gummalla license number is
MD458931 for Pediatrics, Pediatric Pulmonology (2080P0214X) in Pennsylvania.
Dr. Prabhavathi Gummalla is dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Complete Profile:
Dr. Prabhavathi Gummalla basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Pulmonology |
|---|
| Provider Name : | Dr. Prabhavathi Gummalla |
|---|
| Credential : | M.D |
|---|
| Gender : | Female |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Dr. Prabhavathi Gummalla address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2-10 Linden Ave
Haddonfield, NJ, 08033-2556
United States |
|---|
| Phone Number : | 917-715-5360 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1750700852 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 16 Apr, 2014 |
|---|
| Last Updated On : | 09 Feb, 2023 |
|---|
Medicare Participation:
Dr. Prabhavathi Gummalla participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9931432663 |
|---|
| Medicare Enrollment ID : | I20200826002845 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | Other |
|---|
| Graduation Year : | 1999 |
|---|
| Accepts Medicare? | Yes. Dr. Prabhavathi Gummalla accepts medicare insurance. |
|---|
Group Practice Association:
Dr. Prabhavathi Gummalla is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Prabhavathi Gummalla is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Children's Health Care Associates Of New Jersey Pc | 1052219110 | 4 | 200 Bowman Dr
Voorhees, NJ - 080439623
Ph: 2674255400 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Prabhavathi Gummalla are as mentioned. Primary taxonomy code for Dr. Prabhavathi Gummalla, M.D is
2080P0214X (Pediatrics, Pediatric Pulmonology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0214X | Pediatrics, Pediatric Pulmonology | No | 25MA10793600 | NJ |
| 2080P0214X | Pediatrics, Pediatric Pulmonology | No | 285065 | NY |
| 2080S0012X | Pediatrics, Sleep Medicine | No | MD458931 | PA |
| 2080S0012X | Pediatrics, Sleep Medicine | No | 25MA10793600 | NJ |
| 2080P0214X | Pediatrics, Pediatric Pulmonology | Yes | MD458931 | PA |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
200 BOWMAN DR,
VOORHEES, NJ, 08043-9623
United States | VOORHEES, NJ | 215-590-7490 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3401 Civic Center Blvd
Philadelphia, PA, 19104-4319
United States |
|---|
| Phone Number : | 917-715-5360 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Prabhavathi Gummalla practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.