DR. MOHAN SAHEB GUNDETI (NPI# 1790968147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790968147 |
| Entity Type | Individual |
| Full Name | DR. MOHAN SAHEB GUNDETI |
| Credential | M.D. |
| Practice Address |
5841 S Maryland Ave Mc 6038 Chicago IL 60637-1447 |
| Mailing Address |
5841 S Maryland Mc6038 Chicago IL 60637 |
| Practice Telephone | 7737026150 |
| Practice Fax Number | 7737021001 |
| Mailing Telephone | 7737026150 |
| Mailing Fax Number | 7737021001 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2007-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
336078245 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
5841 S MARYLAND AVE MC 6038 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700887296 | Rita Lynn Mcgill | Internal Medicine | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2005-08-09 |
| 1447851472 | Basirat Sulaiman | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-11-05 |
| 1982204061 | Martha Daniela Gorski | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-10-28 |
| 1841807179 | Jason Bugno | Pharmacist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-30 |
| 1942816798 | Emily Mancewicz | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-17 |
| 1841805546 | Anayeli Locascio | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-09-10 |
| 1336752856 | Rachel Barsella | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-25 |
| 1982215620 | Jennifer Risner | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-16 |
| 1134739857 | Moshe Bedziner | Physician Assistant | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-08-06 |
| 1427676899 | Brittney Blackwell | Registered Nurse | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2020-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
| Find all providers in zip 60637 | ||||
| Taxonomy Code | 2088P0231X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| Specialization | Pediatric Urology |
| Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
| Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578752739 | Kids Urology. S.c. | Urology | 2300 N Childrens Plz # 24, Chicago, IL 60614-3363 | 2007-10-23 |
| 1093892143 | John Houston | Urology | 2308 N Lincoln Ave, Chicago, IL 60614-3676 | 2006-11-01 |
| 1205126257 | Deborah Lynn Jacobson | Urology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2011-04-12 |
| 1457675233 | Edward Ming-luan Gong | Urology | 225 E Chicago Ave, Box 24, Chicago, IL 60611-2991 | 2010-03-23 |
| 1558518761 | Jennifer Mickelson | Urology | 2300 N Childrens Plz # 24, Division of Urology - Childrens Memorial Hospital, Chicago, IL 60614-3363 | 2008-08-19 |
| 1891962148 | David I-wang Chu | Urology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2008-05-14 |
| 1366568784 | Emilie Johnson | Urology | 225 E Chicago Ave, Box 24, Chicago, IL 60611-2991 | 2007-03-21 |
| 1710973763 | Elizabeth Yerkes | Urology | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528109006 | Associated Urological Specialists LLC | Urology | 16632 107th St, Orland Park, IL 60467-8898 | 2007-02-09 |
| 1326189895 | Associated Urological Specialists | Urology | 4440 W 95th St Ste 109-112, Oak Lawn, IL 60453-2600 | 2007-02-09 |
| 1518983998 | Pediatric Urology Partners | Urology | 1440 Renaissance Dr, Suite 220, Park Ridge, IL 60068-1356 | 2006-07-15 |
| 1841844917 | Blair Mack | Urology | 1775 Dempster St, Park Ridge, IL 60068-1174 | 2019-07-28 |
| 1316193824 | Derek John Matoka | Urology | 2160 S 1st Ave, Building 54, Maywood, IL 60153-3328 | 2008-08-15 |
| 1437311479 | Children's Urology Health Partners | Urology | 1440 Renaissance Dr, Suite 220, Park Ridge, IL 60068-1356 | 2008-07-01 |
| 1114952256 | L. Suzanne Flom | Urology | 8901 Golf Rd, Suite 301, Des Plaines, IL 60016-6850 | 2006-07-11 |
| 1447200357 | Ranjiv Ignatius Mathews | Urology | 301 N 8th St, Suite Pav 4b, Springfield, IL 62701-1041 | 2006-05-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.