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Individual

DR. RAMMOHAN GUMPENI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
5645 MAIN ST, #WA 100, FLUSHING, NY 11355-5045
(718) 670-1405
(718) 461-2943
Mailing address
7568 187TH ST, FRESH MEADOWS, NY 11366-1726
(718) 670-1405
(718) 819-5388

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
111523
NY
207RP1001X
Pulmonary Disease Physician
Primary
111523-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000106306
GHI HMO
01
000084001
AMERICHOICE
01
000197150101
HEALTHPLUS
05
00200793
NY
01
0074822
GHI PPO
01
061205476GU01
FAMILY HEALTH PLUS
01
0C048P
HIP
01
100027142401
UNITED HEALTHCARE
01
10209256
AMERIGROUP
01
11-3347168
MULTIPLAN
01
11P6421
NYPRESBYTERIAN CHP
01
124016
AETNA HMO
01
160039
ELDERPLAN
01
4231839
AETNA PPO / POS
01
431637N
CIGNA
01
5C6148
HEALTHNET
01
693961
EMPIRE BC/BS
01
DS486
OXFORD
Enumeration date
10/19/2006
Last updated
08/13/2024
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