| Gopalan Sridhar, MD | |
|
555 Raymond St, Reading, PA 19605-3149 | |
| (610) 921-1111 | |
| (610) 921-2419 |
| Full Name | Gopalan Sridhar |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 555 Raymond St, Reading, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063403764 | NPI | - | NPPES |
| 100888848 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD423219 (Pennsylvania) | Primary |
| 207Q00000X | Family Medicine | MD423219 (Pennsylvania) | Secondary |
| Entity Name | Integrated Medical Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336102268 PECOS PAC ID: 1355247180 Enrollment ID: O20031211000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Gopalan Sridhar, MD 555 Raymond St, Reading, PA 19605-3149 Ph: (610) 921-1111 | Gopalan Sridhar, MD 555 Raymond St, Reading, PA 19605-3149 Ph: (610) 921-1111 |
Sharon Berman, CRNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6 Hearthstone Ct, Suite 200, Reading, PA 19606 Phone: 610-779-9550 Fax: 610-779-6433 | |
Terry Ann Gubitosi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Bernville Rd, Reading, PA 19605 Phone: 610-378-2000 Fax: 610-378-2799 | |
Ramesh Matam, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 206 S 6th Ave, Reading, PA 19611 Phone: 610-988-5437 Fax: 610-988-5438 | |
Marla Triano, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Bernville Rd, Reading, PA 19605 Phone: 610-378-2000 | |
Dr. Haley Christine Walsh Spagnola, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Bernville Rd, Reading, PA 19605 Phone: 610-378-2000 Fax: 610-378-2799 | |
Dr. Richard E Arnold, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 Bernville Rd, Reading, PA 19605 Phone: 610-378-2000 Fax: 610-378-2799 |