| Pujitha Kudaravalli, | |
|
750 E Adams St, Syracuse, NY 13210-2306 | |
| (315) 464-5240 | |
| (315) 464-3751 |
| Full Name | Pujitha Kudaravalli |
|---|---|
| Gender | Female |
| Speciality | Gastroenterology |
| Experience | 9 Years |
| Location | 750 E Adams St, Syracuse, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851889893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 1019917 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lahey Hospital & Medical Center, Burlington | Burlington, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lahey Clinic Inc | 2264336528 | 1268 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Mailing Address | Practice Location Address |
|---|---|
| Pujitha Kudaravalli, 750 E Adams St, Syracuse, NY 13210-2306 Ph: (469) 990-9457 | Pujitha Kudaravalli, 750 E Adams St, Syracuse, NY 13210-2306 Ph: (315) 464-5240 |
Courtney Myers, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St Ste 311, Syracuse, NY 13210 Phone: 315-464-5815 | |
Joan Marie Mitchell, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4828 Fax: 315-425-4827 | |
Saverio J. Barbera, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plaza, Ste 5010, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338 | |
Gordana Obradovic, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1304 Buckley Rd, Suite 200, Syracuse, NY 13212 Phone: 315-478-3311 Fax: 315-476-5211 | |
Kristin A Ramella, NP Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz Ste 5010, Syracuse, NY 13202 Phone: 315-464-9335 | |
Vinodhini M Subramanian, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111 | |
Robert R. Michiel, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338 |