Dr Lalitha V Gumidyala, MD, MPH | |
1770 Bathgate Rd, Suite #200, Bethlehem, PA 18017 | |
(484) 884-2249 | |
(484) 884-7053 |
Full Name | Dr Lalitha V Gumidyala |
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Gender | Female |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 1770 Bathgate Rd, Suite #200, Bethlehem, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831160027 | NPI | - | NPPES |
01007800901 | Other | NJ | AMERICHOICE |
0088668 | Medicaid | NJ | |
305282 | Other | NJ | AMERIGROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD475971 (Pennsylvania) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | MD475971 (Pennsylvania) | Primary |
Entity Name | Family Care Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497 |
Mailing Address | Practice Location Address |
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Dr Lalitha V Gumidyala, MD, MPH 3195 Milan Street, Easton, PA 18045 Ph: (732) 512-7895 | Dr Lalitha V Gumidyala, MD, MPH 1770 Bathgate Rd, Suite #200, Bethlehem, PA 18017 Ph: (484) 884-2249 |
Dr. Basil Dolphin, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 2649 Schoenersville Rd, Suite 102, Bethlehem, PA 18017 Phone: 484-884-2249 Fax: 484-884-8034 | |
Dr. Frank Capobianco, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2775 Schoenersville Rd, Bethlehem, PA 18017 Phone: 610-861-8080 Fax: 610-807-0366 |