| Gdg Square, LLC | |
|
22303 Dupont Blvd Georgetown DE 19947-2153 | |
| (302) 440-4866 | |
| Not Available |
| Full Name | Gdg Square, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 22303 Dupont Blvd, Georgetown, Delaware |
| Authorized Official Name and Position | Arushi Goel (OWNER) |
| Authorized Official Contact | 5167275950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gdg Square, LLC 17 Cinnamon Dr Hockessin DE 19707-1349 Ph: (516) 727-5950 | Gdg Square, LLC 22303 Dupont Blvd Georgetown DE 19947-2153 Ph: (302) 440-4866 |
| NPI Number | 1801665617 |
|---|---|
| Provider Enumeration Date | 12/21/2023 |
| Last Update Date | 11/11/2024 |
| Certification Date | 11/11/2024 |
| Medicare PECOS PAC ID | 1759724057 |
|---|---|
| Medicare Enrollment ID | O20240202002935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801665617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Madhu S Prattipati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790936193 PECOS PAC ID: 2769661438 Enrollment ID: I20110127000023 |
| Provider Name | Sravanthy Pataparla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346404589 PECOS PAC ID: 1456512532 Enrollment ID: I20150204000842 |
| Provider Name | Michael a Cortes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154731610 PECOS PAC ID: 0042511719 Enrollment ID: I20170905001489 |
| Provider Name | Neil Charles Gaskill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336534700 PECOS PAC ID: 9133412596 Enrollment ID: I20200505000525 |
| Provider Name | Hemal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245626522 PECOS PAC ID: 2860741006 Enrollment ID: I20210119001313 |
| Provider Name | Arushi Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992157408 PECOS PAC ID: 0143557371 Enrollment ID: I20220819002216 |
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