# MADHAV A GUDI, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497183974
- **Authorized official:** DR. MADHAV A GUDI MD (SOLE OWNER)
- **Authorized official phone:** (718) 930-5230

## Contact information

- **Practice address:** 8721 5TH AVE, BROOKLYN, NY 11209-5230
- **Practice address phone:** (718) 745-0860
- **Mailing address:** 1368 83RD ST, BROOKLYN, NY 11228-3035
- **Mailing address phone:** (718) 745-0860
- **Mailing address fax:** (347) 560-6040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 122837 | NY | Yes |

## Other

- **Enumeration date:** 10/22/2013
- **Last updated:** 10/22/2013