Individual
DR. MADHAVACHARYA A GUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 7TH AVE, BROOKLYN, NY 11215-3689
(718) 832-1818
(718) 832-6125
Mailing address
25 COPSE HILL TRL, MADISON, CT 06443-2000
(718) 930-5230
(732) 491-8974
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
122837
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
122837
NY
207RP1001X
Pulmonary Disease Physician
122837
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00279772
—
NY
Enumeration date
01/11/2006
Last updated
10/19/2023
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