Rajender Kumar Gattu

MD | Pediatric Emergency Medicine | Male

---

Complete Profile:

Rajender Kumar Gattu basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Rajender Kumar Gattu
Credential :	MD
Gender :	Male

Business Address:

Rajender Kumar Gattu 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 :	11414 Georgia Ave Silver Spring, MD, 20902-1907 United States
Phone Number :	240-616-1616

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 :	1417995143
NPI Entity Type :	Individual
First Enrolment Date :	03 Jun, 2006
Last Updated On :	01 Mar, 2022

Medicare Participation:

Rajender Kumar Gattu participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5890767479
Medicare Enrollment ID :	I20071010000856
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1987
Accepts Medicare?	Yes. Rajender Kumar Gattu accepts medicare insurance.

Group Practice Association:

Rajender Kumar Gattu 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 Rajender Kumar Gattu is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
			1419 Reisterstown Rd Pikesville, MD - 212083808 Ph: 2406161616	May accept
			11414 Georgia Ave Silver Spring, MD - 209021907 Ph: 2406161616	May accept

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 Rajender Kumar Gattu are as mentioned. Primary taxonomy code for Rajender Kumar Gattu, MD is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	4301073223	MI
208000000X	Pediatrics	No	D66275	MD
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	D66275	MD

Legacy Identifiers:

Other legacy medical identifiers of Rajender Kumar Gattu such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
412657200	MEDICAID	MD

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 :	11414 Georgia Ave Silver Spring, MD, 20902-1907 United States
Phone Number :	240-616-1616

Business Location:

Patients can refer following map for directions to Rajender Kumar Gattu practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.