| Ashweena Gonuguntla, MD | |
|
804 Service Rd, Suite A110, East Lansing, MI 48824-7015 | |
| (517) 353-3003 | |
| (517) 353-5514 |
| Full Name | Ashweena Gonuguntla |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 804 Service Rd, East Lansing, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134182009 | NPI | - | NPPES |
| 4947612 | Medicaid | MI | |
| 00A839370 | Medicaid | CA | |
| 1134182009 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301087991 (Michigan) | Primary |
| Entity Name | Hurley Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982630844 PECOS PAC ID: 2961308481 Enrollment ID: O20031208000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashweena Gonuguntla, MD 804 Service Rd # A109f, East Lansing, MI 48824-7015 Ph: (517) 884-2976 | Ashweena Gonuguntla, MD 804 Service Rd, Suite A110, East Lansing, MI 48824-7015 Ph: (517) 353-3003 |
Dr. Melissa P Pieroni Long, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 307 W Lake Lansing Rd, East Lansing, MI 48823 Phone: 517-487-4480 Fax: 517-487-0193 | |
Dr. Bradley R. Hoopingarner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 804 Service Rd # A110, East Lansing, MI 48824 Phone: 517-353-3003 Fax: 517-353-5514 | |
Dr. Marsha Dawn Rappley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: A110 Clinical Ctr, 138 Service Rd, East Lansing, MI 48824 Phone: 517-353-3003 Fax: 517-353-5514 | |
Mr. David Lipsitz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 307 W Lake Lansing Rd, East Lansing, MI 48823 Phone: 517-487-4480 Fax: 517-487-0193 | |
Suad Khalil, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 804 Service Rd Ste A217, East Lansing, MI 48824 Phone: 517-353-8122 Fax: 517-432-3713 | |
Dr. Ashir Kumar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: A110 Clinical Center, East Lansing, MI 48824 Phone: 517-353-3003 Fax: 517-353-5514 |