Gogu, Sujan
Gogu, Sujan is an individual health care provider with primary practice located at 1000 E Dove Ave Ste 200 , Mcallen TX 78504-3974. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Gogu, Sujan can be contacted via phone (956) 362-3530.Contact Information
Primary practice address
1000 E Dove Ave Ste 200
Mcallen TX 78504-3974
Phone: (956) 362-3530
Fax: (956) 362-3531
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | R0401 | Texas |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | R0401 | Texas |
Profile Details
NPI number | 1407268162 |
---|---|
LBN Legal business name | Gogu, Sujan |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 28th, 2014 |
Last updated | Oct 19th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407268162 | NPPES |
Texas | Other | 731012 | MEDICARE |
Texas | Other | 1N6372 | MEDICARE |
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