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

Individual provider Specialist · NPI 1497750046

Dr. Prasad R. Gudavalli, MD is a Specialist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2005
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

7702 - 16th Ave
Brooklyn, NY 11214-1002
Phone: (718) 645-2929
Fax: (718) 621-4119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 128146 (NY)

Record details

NPI number1497750046
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 20, 2005
Last updated in NPPESNovember 5, 2012

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