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:
Health care specialties
Specialty | Code | License # | 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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