Churukanti, Gauthami Reddy

Churukanti, Gauthami Reddy is an individual health care provider with primary practice located at 101 Nicolls Rd # Hsct9040 , Stony Brook NY 11794-8265. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Churukanti, Gauthami Reddy can be contacted via phone (631) 444-2348.

Contact Information

Primary practice address
101 Nicolls Rd # Hsct9040 Stony Brook NY 11794-8265
Phone: (631) 444-2348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD460958 Pennsylvania
Allopathic & Osteopathic Physicians / Urology 208800000X MD460958 Pennsylvania

Profile Details

NPI number 1962763219
LBN Legal business name Churukanti, Gauthami Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2012
Last updated Apr 29th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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