Kopresh A Gudi (NPI# 1851406334, PAC ID# 4880656255) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1851406334 |
| PAC ID by PECOS | 4880656255 |
| Professional Enrollment ID | I20041028000278 |
| Full Name | Kopresh A Gudi |
| Organization Legal Name | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Address |
151 Islington St Staten Island NY 10308-1616 |
| Phone Number | 7189668168 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1973 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2163597899 |
| Number of Group Practice Members | 339 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 371321 | HOLDENVILLE GENERAL HOSPITAL |
| 330395 | ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE |
| 370180 | CHICKASAW NATION MEDICAL CENTER |
| 231316 | HILLS & DALES GENERAL HOSPITAL |
| 330259 | MERCY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1921 Stonecipher Dr, Ada, OK 74820-3439 | 5804363980 | CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER |
| 333 E 57th St, Apt 12a, New York, NY 10022-2422 | 2128885385 | STEUBEN RADIOLOGY ASSOCIATES INC |
| 101 Hospital Rd, Patchogue, NY 11772-4870 | 6316547100 | VIRTUAL RADIOLOGIC PROFESSIONALS OF NEW YORK, P.A. |
| Highway 86 At Topawa Rd, Sells Indian Hospital, Sells, AZ 85634 | 5203837285 | TON SELLS HOSPITAL |
| 151 Islington St, Staten Island, NY 10308-1616 | 7189668168 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 151 Islington St, Staten Island, NY 10308-1616 | STEUBEN RADIOLOGY ASSOCIATES INC | |
| 151 Islington St, Staten Island, NY 10308-1616 | VIRTUAL RADIOLOGIC PROFESSIONALS OF NEW YORK, P.A. | |
| 7900 S J Stock Rd, San Xavier Health, Tucson, AZ 85746-7012 | 5202952546 | TON SAN XAVIER HEALTH CENTER |
| Organization Legal Name | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dmitry Bolkhovets | Diagnostic Radiology | Radadvantage A Professional Corporation | 67 Dora St, Apt 3, Stamford, CT 06902-5414 |
| Robert L Sciulli | Diagnostic Radiology | Radadvantage A Professional Corporation | 200 River Landing Dr, Unit 406a, Daniel Island, SC 29492-8416 |
| Clark T Kholeif | Diagnostic Radiology | Radadvantage A Professional Corporation | 6181 Kahiliholo Rd, Kilauea, HI 96754-5117 |
| Tracy J Robinson | Diagnostic Radiology | Radadvantage A Professional Corporation | 1940 E 3375, Millcreek, UT 84106-3939 |
| Katherine Tobin | Diagnostic Radiology | Radadvantage A Professional Corporation | 579 Sagamore Ave, Unit 60, Portsmouth, NH 03801-5570 |
| Charles J Vassallo | Diagnostic Radiology | Radadvantage A Professional Corporation | 2500 Kalakaua Ave, Apt 1003, Honolulu, HI 96815-3602 |
| Judith Corey | Diagnostic Radiology | Radadvantage A Professional Corporation | 5858 Bellaire Dr, New Orleans, LA 70124-1104 |
| Betsy J Bronson | Diagnostic Radiology | Radadvantage A Professional Corporation | 5050 Donald St, Eugene, OR 97405-3526 |
| Mujtaba M Ali | Diagnostic Radiology | Radadvantage A Professional Corporation | 518 S Buena Vista St, Redlands, CA 92373-5804 |
| Brendan Maney Miner | Diagnostic Radiology | Radadvantage A Professional Corporation | 510 14th St, St Augustine, FL 32084-1507 |
| Street Address |
151 ISLINGTON ST |
| City | STATEN ISLAND |
| State | NY |
| Zip | 10308-1616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Ann Cantilena | Psychologist, Clinical | 157 Giffords Ln, Staten Island, NY 10308-2012 | |
| Aliza Skaya | Clinical Social Worker | 4066 Amboy Rd, Staten Island, NY 10308-2409 | |
| Gerald Dwyer | Clinical Social Worker | 4062 Amboy Rd, Staten Island, NY 10308-2409 | |
| Martin J Blondell | Clinical Social Worker | 3974 Amboy Rd, Staten Island, NY 10308-2414 | |
| Sanford Mallin | Family Medicine | 107 Nelson Ave, Staten Island, NY 10308-2710 | |
| Judith W Blumert | Clinical Social Worker | 99 Nelson Ave, Staten Island, NY 10308-2710 | |
| Madeline C Phillipps | Clinical Social Worker | 27 Ramble Rd, Staten Island, NY 10308-2923 | |
| James Bruno | Pulmonary Disease | 277 Nelson Ave, Staten Island, NY 10308-3204 | |
| Lisa R Hernandez | General Practice | 6 Presley St, Staten Island, NY 10308-3239 | |
| Philip S Paterno | Physician Assistant | Consultants In Urology | 4143 Hylan Blvd, Staten Island, NY 10308-3308 |
| Find all physicians in zip 10308 | |||
| City | STATEN ISLAND |
| Zip Code | 10308 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | STATEN ISLAND + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kopresh A Gudi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.