Individual
DR. P. RAO GUMMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1818 CAREW ST, SUITE 220, FORT WAYNE, IN 46805-4788
(260) 482-1004
(260) 483-7894
Mailing address
1818 CAREW ST, SUITE 220, FORT WAYNE, IN 46805-4788
(260) 482-1004
(260) 483-7894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01030939A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082077
ANTHEM BC/BS
IN
01
—
1360
PHP
IN
Enumeration date
07/01/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us