| Ravindra Gudavalli, MBBS | |
|
5950 University Ave, Ste 131, West Des Moines, IA 50266-8216 | |
| (515) 875-9550 | |
| (515) 875-9551 |
| Full Name | Ravindra Gudavalli |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 31 Years |
| Location | 5950 University Ave, West Des Moines, Iowa |
| 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 |
|---|---|---|---|
| 1649351222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 23846 (Nebraska) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 38916 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Gateway Medical Center | Gilbert, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Hospital Based Physicians Arizona Llc | 3274782487 | 524 |
| Banner Cancer Center Specialists Llc | 6103097779 | 281 |
| Entity Name | Sjhmc Physician Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326098005 PECOS PAC ID: 4486646197 Enrollment ID: O20040401001189 |
| Entity Name | Banner Cancer Center Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224 |
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Entity Name | Sound Physicians Intensivists Of Arizona Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962944702 PECOS PAC ID: 9537443130 Enrollment ID: O20170227001893 |
| Mailing Address | Practice Location Address |
|---|---|
| Ravindra Gudavalli, MBBS 6800 Lake Drive, Ste 250, West Des Moines, IA 50266-2504 Ph: (515) 875-9925 | Ravindra Gudavalli, MBBS 5950 University Ave, Ste 131, West Des Moines, IA 50266-8216 Ph: (515) 875-9550 |
Kevin James Cunningham, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5950 University Ave, Ste 151, West Des Moines, IA 50266 Phone: 515-875-9192 Fax: 515-875-9193 | |
Terri L Bunting, A.R.N.P Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 555 S 51st St, West Des Moines, IA 50265 Phone: 515-440-0304 Fax: 515-440-4623 | |
Jeffrey D Stahl, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1300 37th St, Ste 5, West Des Moines, IA 50266 Phone: 515-225-4051 Fax: 515-225-2265 | |
Richard H Marcus, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5880 University Ave Ste 102, West Des Moines, IA 50266 Phone: 515-633-3600 Fax: 515-288-0840 | |
Mark A Tannenbaum, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5880 University Ave Ste. 102, West Des Moines, IA 50266 Phone: 515-633-3600 Fax: 515-288-0840 | |
Angela Knoblauch, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6010 Mills Civic Pkwy Ste 100, West Des Moines, IA 50266 Phone: 515-221-7800 Fax: 515-221-7801 | |
Magdi G.h. Ghali, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5880 University Ave Ste. 102, West Des Moines, IA 50266 Phone: 515-633-3600 Fax: 515-288-0840 |