| Vijaya Guduri, | |
|
24035 Three Notch Road, Shah Associates Md Llc, Hollywood, MD 20636 | |
| (301) 373-7100 | |
| Not Available |
| Full Name | Vijaya Guduri |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 23 Years |
| Location | 24035 Three Notch Road, Hollywood, Maryland |
| 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 |
|---|---|---|---|
| 1386825271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0068923 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anne Arundel Medical Center | Annapolis, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 3779495858 | 1793 |
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 3779495858 | 1793 |
| Entity Name | Luminis Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043378656 PECOS PAC ID: 3779495858 Enrollment ID: O20080519000558 |
| Entity Name | Mdics At Bwmc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306131578 PECOS PAC ID: 7315106184 Enrollment ID: O20120314000455 |
| Entity Name | Mdics At Anne Arundel Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427343664 PECOS PAC ID: 1456515519 Enrollment ID: O20120621000282 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1942546486 PECOS PAC ID: 3779495858 Enrollment ID: O20141111002041 |
| Entity Name | Mdics At Umroi, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588023667 PECOS PAC ID: 9638478019 Enrollment ID: O20160506000794 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1457023616 PECOS PAC ID: 3779495858 Enrollment ID: O20220105001262 |
| Mailing Address | Practice Location Address |
|---|---|
| Vijaya Guduri, Po Box 64522, Baltimore, MD 21264-4522 Ph: () - | Vijaya Guduri, 24035 Three Notch Road, Shah Associates Md Llc, Hollywood, MD 20636 Ph: (301) 373-7100 |
Anna Paul Thottan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24035 Three Notch Rd, Hollywood, MD 20636 Phone: 301-373-7900 | |
Vinaychandra Shah, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 24035 Three Notch Rd, Hollywood, MD 20636 Phone: 301-373-7400 Fax: 301-373-6400 | |
Bhasker Jhaveri, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24035 Three Notch Rd, Hollywood, MD 20636 Phone: 301-373-7100 Fax: 301-373-6100 | |
Amish Shah, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24035 Three Notch Rd, Hollywood, MD 20636 Phone: 301-373-7400 Fax: 301-373-6400 | |
Kiran Mehta, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24035 Three Notch Rd, Hollywood, MD 20636 Phone: 301-373-7900 Fax: 301-373-6900 | |
Dr. Bryan John Lebude, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24035 Three Notch Rd, Hollywood, MD 20636 Phone: 301-373-7318 |