Vasu D. Gooty

MD | Pediatric Cardiology | Male

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Complete Profile:

Vasu D. Gooty basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Cardiology
Provider Name :	Vasu D. Gooty
Credential :	MD
Gender :	Male

Business Address:

Vasu D. Gooty 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 :	1919 E Thomas Rd Phoenix, AZ, 85016-7710 United States
Phone Number :	602-933-3366

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 :	1891051348
NPI Entity Type :	Individual
First Enrolment Date :	10 Apr, 2012
Last Updated On :	30 Dec, 2022

Medicare Participation:

Vasu D. Gooty participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2769625235
Medicare Enrollment ID :	I20230307002976
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2007
Accepts Medicare?	Yes. Vasu D. Gooty accepts medicare insurance.

Group Practice Association:

Vasu D. Gooty 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 Vasu D. Gooty 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
Phoenix Children's Hospital	0446278584	278	1919 E Thomas Rd Phoenix, AZ - 850167710 Ph: 6029331000	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 Vasu D. Gooty are as mentioned. Primary taxonomy code for Vasu D. Gooty, MD is 2080P0202X (Pediatrics, Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics, Pediatric Cardiology	No	59692	TN
2080P0202X	Pediatrics, Pediatric Cardiology	Yes	67451	AZ

Other Practice Locations:

Practice Address	City, State	Phone Number
51 N DUNLAP ST FL 2, MEMPHIS, TN, 38105-4625 United States	MEMPHIS, TN	901-287-7337

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 :	2108 E Thomas Rd Ste 130 Phoenix, AZ, 85016-0008 United States
Phone Number :	602-933-1813

Business Location:

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