MEDICARE: DR. MADHU SIDDAVEERE GOWDA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	034989	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104856921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MADHU SIDDAVEERE GOWDA M.D.

Provider Business Mailing Address
First Line	:	63 FARM HILL RD
Second Line	:
City	:	ORANGE
State	:	CT
Zip	:	06477-2335
Country	:	US
Telephone Number	:	203-888-9340
Fax Number	:	203-888-9649

Provider Business Practice Location Address
First Line	:	17 WESTERMAN AVE
Second Line	:
City	:	SEYMOUR
State	:	CT
Zip	:	06483-3320
Country	:	US
Telephone Number	:	203-888-9340
Fax Number	:	203-888-9649

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1255348025 — DR. KENNETH ELI MANCHER M.D.
Practice Location Address:

17 WESTERMAN AVE
SEYMOUR, CT
06483-3320

Practice Phone: 203-881-0400
Practice Fax: 203-881-2708

1942311733 — DR. KIMBERLY MICHELLE DAVIS N.D.
Practice Location Address:

17 WESTERMAN AVE
SEYMOUR, CT
06483-3320

Practice Phone: 203-888-8616
Practice Fax:

1851038251 — DREAMLIFE LLC
Practice Location Address:

5714 SEYMOUR AVE
BALTIMORE, MD
21206-3320

Practice Phone: 410-770-2920
Practice Fax: 410-630-5170

1871129593 — VENNESHA HUNTER APRN, PMHNP
Practice Location Address:

7 BRIDLE PATH LN
SEYMOUR, CT
06483-3065

Practice Phone: 475-298-7885
Practice Fax:

1285621946 — DR. GEORGE Z TZEPOS OD
Practice Location Address:

25 NEW HAVEN RD
SEYMOUR, CT
06483-3405

Practice Phone: 203-888-9532
Practice Fax: 203-888-1733

1942273123 — SEYMOUR AMBULANCE ASSOCIATION INC
Practice Location Address:

4 WAKELEY ST
SEYMOUR, CT
06483-2820

Practice Phone: 203-888-8843
Practice Fax: 203-881-5018

Directions to “ DR. MADHU SIDDAVEERE GOWDA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.