Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shravana Deepthi Gudivada, MD

Individual provider Internal Medicine Physician · NPI 1316398985

Dr. Shravana Deepthi Gudivada, MD is a Neurology in Puyallup, Washington. Qualified in 2015, 11 years ago. Practices with Multicare Health System, a 2,302-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Washington.

Years since qualifying
11
Licensed in
IL, WA
In the registry since
2016
Specialties on file
2
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

402 15th Ave SE Ste 201
Puyallup, WA 98372-3709
Phone: (253) 697-5250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD61036197 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125068551 (IL)

Record details

NPI number1316398985
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2016
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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