Praveena Gandikota (NPI# 1285849513, PAC ID# 0547459869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1285849513 |
| PAC ID by PECOS | 0547459869 |
| Professional Enrollment ID | I20110118000587 |
| Full Name | Praveena Gandikota |
| Organization Legal Name | PROSPECT HEALTH ACCESS NETWORK INC |
| Address |
190 W Sproul Rd 102 Endocrinology Assoc Springfield PA 19064-2045 |
| Phone Number | 6103381820 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 5698065142 |
| Number of Group Practice Members | 296 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390180 | CROZER CHESTER MEDICAL CENTER |
| 390222 | RIDDLE MEMORIAL HOSPITAL |
| 390179 | CHESTER COUNTY HOSPITAL |
| 080001 | CHRISTIANA HOSPITAL |
| 390081 | DELAWARE COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 190 W Sproul Rd, 102 Endocrinology Assoc, Springfield, PA 19064-2045 | 6103381820 | PROSPECT HEALTH ACCESS NETWORK INC |
| 196 W Sproul Rd, 205 Healthplex, Springfield, PA 19064-2045 | 6105214311 | PROSPECT HEALTH ACCESS NETWORK INC |
| Organization Legal Name | PROSPECT HEALTH ACCESS NETWORK INC |
| Physicians | 316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sana Sultan Siddique | Gastroenterology | Prospect Health Access Network Inc | 204 E Chester Pike, Suite 4 Crozer Keystone Gastroenterology Associates, Ridley Park, PA 19078-1709 |
| Matthew Smith | Nurse Practitioner | Prospect Health Access Network Inc | 196 W Sproul Rd, 205 Healthplex, Springfield, PA 19064-2045 |
| Mark D Cassano | Psychiatry | Prospect Health Access Network Inc | 1260 E Woodland Ave, 200 Ctr Fam Hlth, Springfield, PA 19064-3969 |
| Milad Kosa | Internal Medicine | Prospect Health Access Network Inc | 501 N Lansdowne Ave, Dcmh, Drexel Hill, PA 19026-1114 |
| Rama Dahal | Internal Medicine | Prospect Health Access Network Inc | 1324 Macdade Blvd, Woodlyn, PA 19094-1501 |
| Katarzyna Calderon | Nurse Practitioner | Prospect Health Access Network Inc | 2700 Chestnut St, Chester, PA 19013-4867 |
| Arlin J Silberman | Psychiatry | Prospect Health Access Network Inc | 2600 W 9th Str, Community Hosp, Chester, PA 19013-2040 |
| Dequilla Hurt | Nurse Practitioner | Prospect Health Access Network Inc | 8 Morton Ave, Suite 303, Ridley Park, PA 19078-2217 |
| Sinae Rhee | Nurse Practitioner | Prospect Health Access Network Inc | 1220 Chester Pike, Sharon Hill, PA 19079-1902 |
| Lloydia Reynolds | Obstetrics/gynecology | Prospect Health Access Network Inc | 2100 Keystone Ave, Suite 707, Drexel Hill, PA 19026-1134 |
| Street Address |
190 W SPROUL RD 102 ENDOCRINOLOGY ASSOC |
| City | SPRINGFIELD |
| State | PA |
| Zip | 19064-2045 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Milliken | Nurse Practitioner | Prospect Health Access Network Inc | 190 W Sproul Rd, 103 Pav 1 Ctr Dizzy and Bal, Springfield, PA 19064-2045 |
| William M Urbas | Podiatry | Keystone Foot and Ankle Associates PC | 190 W Sproul Rd, Pav 2 Room 122, Springfield, PA 19064-2027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann K Lodovichetti | Physical Therapy | Ati Holdings LLC | 779 W Sproul Rd, Springfield, PA 19064-1215 |
| Lisa A Darcy | Physical Therapy | Ati Holdings LLC | 779 W Sproul Rd, Springfield, PA 19064-1215 |
| Marissa Rickards | Physical Therapy | Ati Holdings LLC | 779 W Sproul Rd, Springfield, PA 19064-1215 |
| Anthony Gagliardi | Physical Therapy | Ati Holdings LLC | 779 W Sproul Rd, Springfield, PA 19064-1215 |
| David Warner | Physical Therapy | Ati Holdings LLC | 779 W Sproul Rd, Springfield, PA 19064-1215 |
| Kevin T Cush | Physical Therapy | Ati Holdings LLC | 779 W Sproul Rd, Springfield, PA 19064-1215 |
| Claire Katherine Corcoran | Chiropractic | 130 S State Rd, Suite 100g, Springfield, PA 19064-1291 | |
| Maureen G O Leary | Physical Therapy | 57 S State Rd, Springfield, PA 19064-1638 | |
| Stanley S Lubeck | Podiatry | 501 Wesley Rd, Springfield, PA 19064-2012 | |
| Deepika Malik | Ophthalmology | Moore Eye Care, P.C. | 100 W Sproul Rd, Healthplex Pavilion II Suite 100, Springfield, PA 19064-2033 |
| Find all physicians in zip 19064 | |||
| City | SPRINGFIELD |
| Zip Code | 19064 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | SPRINGFIELD + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Praveena Gandikota.
| 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.