| Gowri Gouda, | |
|
502 E Cummins St, Tecumseh, MI 49286-2074 | |
| (517) 423-3887 | |
| Not Available |
| Full Name | Gowri Gouda |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 502 E Cummins St, Tecumseh, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174146674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5101029031 (Michigan) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 99010 (Georgia) | Primary |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Gowri Gouda, 102 Kinloch Dr, Perrysburg, OH 43551-1339 Ph: () - | Gowri Gouda, 502 E Cummins St, Tecumseh, MI 49286-2074 Ph: (517) 423-3887 |
Dr. Sushma Chandramouli, M.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 500 E Pottawatamie St, Tecumseh, MI 49286 Phone: 573-201-8348 | |
Dr. Rebecca Grace Poetschke, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 E Cummins St, Tecumseh, MI 49286 Phone: 517-423-9787 Fax: 517-423-7870 | |
Shumaila Younas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 502 E Cummins St, Tecumseh, MI 49286 Phone: 517-423-3887 Fax: 517-423-9433 |