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Individual
DR. PRASAD R. GUDAVALLI
Active
Individual
DR. PRASAD R. GUDAVALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
128146
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00366349
—
NY
01
—
0046803
GROUP HEALTH INC.
NY
01
—
069508709
OXFORD HEALTH PLAN
NY
01
—
069508793
UNITED HEALTHCARE
NY
01
—
07A361
BLUE CROSS & BLUE SHIELD
NY
01
—
0C0646
HEALTHNET
NY
01
—
1000016766
AFFINITY
NY
01
—
128146-A21
HEALTHFIRST
NY
01
—
4556190
CIGNA HEALTHCARE
NY
01
—
97367
AETNA US HEALTHCARE
NY
01
—
OXFORD
P393018
NY
Enumeration date
06/20/2005
Last updated
11/05/2012
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