Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Prakash S Gudsoorkar, MD

Individual provider Nephrology Physician · NPI 1417458175

Dr. Prakash S Gudsoorkar, MD is a Nephrology in Cincinnati, Ohio. Qualified in 2004, 22 years ago. Practices with University of Cincinnati Physicians Company LLC, a 1,476-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
22
Licensed in
OH
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

234 Goodman St
Cincinnati, OH 45219-2364
Phone: (513) 558-5468
Fax: (513) 558-4309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 35.138518 (OH)

Record details

NPI number1417458175
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 27, 2018
Last updated in NPPESJanuary 27, 2020
Certification dateJanuary 27, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice University Of Cincinnati Physicians Company Llc — 1476 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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