| Gundumalla S Goud Md Inc | |
|
7529 Fredle Dr Concord Twp OH 44077-9406 | |
| (440) 350-7444 | |
| (440) 350-7440 |
| Full Name | Gundumalla S Goud Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7529 Fredle Dr, Concord Twp, Ohio |
| Authorized Official Name and Position | Gundumalla S Goud (PRESIDENT) |
| Authorized Official Contact | 4403507444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gundumalla S Goud Md Inc 7529 Fredle Dr Concord Twp OH 44077-9406 Ph: (440) 350-7444 | Gundumalla S Goud Md Inc 7529 Fredle Dr Concord Twp OH 44077-9406 Ph: (440) 350-7444 |
| NPI Number | 1447427414 |
|---|---|
| Provider Enumeration Date | 05/09/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447427414 | NPI | - | NPPES |
| 0468480 | Medicaid | OH | |
| 110001483A | Other | OH | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35044133 (Ohio) | Primary |
University Primary Care Practices Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7500 Auburn Rd # 2300, Concord Twp, OH 44077 Phone: 440-358-5555 Fax: 440-358-5556 |