| Prabhakar Reddy Gundappu Reddy, MD | |
|
3110 Hamilton Blvd, Allentown, PA 18103-3630 | |
| (570) 824-3521 | |
| Not Available |
| Full Name | Prabhakar Reddy Gundappu Reddy |
|---|---|
| Gender | Male |
| Speciality | Pain Medicine - Pain Medicine |
| Location | 3110 Hamilton Blvd, Allentown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114102910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | MD444083 (Pennsylvania) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | MD444083 (Pennsylvania) | Primary |
| Entity Name | Premier Spine & Pain Management Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518216092 PECOS PAC ID: 7012168818 Enrollment ID: O20130218000074 |
| Entity Name | New Day Pain & Spine Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609438324 PECOS PAC ID: 9537497938 Enrollment ID: O20190829000249 |
| Entity Name | Advanced Ortho & Pain Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174260731 PECOS PAC ID: 7315327723 Enrollment ID: O20220701001092 |
| Mailing Address | Practice Location Address |
|---|---|
| Prabhakar Reddy Gundappu Reddy, MD 7241 Cedar Rd, Macungie, PA 18062-8958 Ph: (505) 514-2779 | Prabhakar Reddy Gundappu Reddy, MD 3110 Hamilton Blvd, Allentown, PA 18103-3630 Ph: (570) 824-3521 |
Mogana Valli Ashar, Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 S Cedar Crest Blvd Fl 2, Allentown, PA 18103 Phone: 610-402-6164 | |
Dr. Kenneth J Choquette, D.O. Pain Medicine Medicare: Medicare Enrolled Practice Location: 1251 S Cedar Crest Blvd, Ste 203, Allentown, PA 18103 Phone: 610-439-1662 Fax: 610-439-8397 |