Dr Vishwanath Valagerehally Puttaswamygowda, MD | |
6914 41 St Ave, Unit C1, Woodside, NY 11377 | |
(718) 308-6918 | |
(718) 803-2434 |
Full Name | Dr Vishwanath Valagerehally Puttaswamygowda |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 6914 41 St Ave, Woodside, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710118435 | NPI | - | NPPES |
03260455 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 223041 (New York) | Primary |
Entity Name | Crystal Medical Care,p.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689972317 PECOS PAC ID: 4587846837 Enrollment ID: O20110308001007 |
Mailing Address | Practice Location Address |
---|---|
Dr Vishwanath Valagerehally Puttaswamygowda, MD 6914 41 St Ave, Unit C1, Woodside, NY 11377 Ph: (718) 308-6918 | Dr Vishwanath Valagerehally Puttaswamygowda, MD 6914 41 St Ave, Unit C1, Woodside, NY 11377 Ph: (718) 308-6918 |
Shamim Ahmed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6413 Broadway, Woodside, NY 11377 Phone: 718-205-6561 Fax: 718-205-4815 | |
Pompeiu Vlad Vladutiu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3120 54th St, Woodside, NY 11377 Phone: 516-320-0444 Fax: 516-365-9002 | |
Dr. Krishna Rao Badhey, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4902 Queens Blvd, Woodside, NY 11377 Phone: 718-424-4646 Fax: 718-424-4348 | |
Dr. Shahida Khan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6527 Roosevelt Ave # 1a, Woodside, NY 11377 Phone: 718-550-2273 Fax: 718-550-2274 | |
Dr. Abdul W Rahman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6417 Broadway, Woodside, NY 11377 Phone: 718-424-5797 | |
Sabrina Huq, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3443 60th St Apt P2, Woodside, NY 11377 Phone: 201-730-2743 Fax: 239-235-4641 | |
Mr. Alfred Vincent De Rosa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4844 44th St, Woodside, NY 11377 Phone: 718-784-2834 Fax: 718-784-2868 |