| 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 | |
Maleeh Nadeem, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6918 32nd Ave, Woodside, NY 11377 Phone: 718-806-1434 Fax: 718-806-1435 | |
Nurlan Davletalinov, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4414 47th Ave Apt C2, Woodside, NY 11377 Phone: 516-800-6882 | |
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 |