Individual ProviderKavitha GudurInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address400 8th St N, Naples, FL 34102-5519(239) 649-3306PECOS EnrollmentBased on the most recent information from CMS, provider Kavitha Gudur is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1194888479Provider TypeIndividualFull NameGudur, KavithaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date12/18/2006Last Updated4/12/2024Contact InformationPractice LocationPractice Address400 8th St N, Naples, FL 34102-5519Phone(239) 649-3306FaxUnlisted FaxMailing LocationMailing AddressPO Box 111600, Naples, FL 34108-0127Phone(239) 649-3306FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME89492FloridaProvider IdentifiersIDDescriptionIssuerID37646DescriptionOtherIssuerBCBSFlorida