| Kuladeep Krishna Gidda, MD | |
|
557 Brookdale Dr, Statesville, NC 28677-4100 | |
| (704) 873-5661 | |
| Not Available |
| Full Name | Kuladeep Krishna Gidda |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 9 Years |
| Location | 557 Brookdale Dr, Statesville, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720510720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35.139927 (Ohio) | Secondary |
| 208M00000X | Hospitalist | 2022-02394 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of Iredell County | Statesville, NC | Hospice |
| Iredell Memorial Hospital Inc | Statesville, NC | Hospital |
| Haywood Regional Medical Center | Clyde, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 662 |
| Optimed Hospitalists, Pllc | 8022204171 | 45 |
| Entity Name | Carolinas Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477878890 PECOS PAC ID: 3375449655 Enrollment ID: O20031219000455 |
| Entity Name | Caldwell Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477839108 PECOS PAC ID: 5395646970 Enrollment ID: O20040116000355 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20100512000495 |
| Entity Name | Optimed Hospitalists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235449125 PECOS PAC ID: 8022204171 Enrollment ID: O20101201000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Kuladeep Krishna Gidda, MD 557 Brookdale Dr, Statesville, NC 28677-4100 Ph: (704) 873-5661 | Kuladeep Krishna Gidda, MD 557 Brookdale Dr, Statesville, NC 28677-4100 Ph: (704) 873-5661 |