Gona, Amitha
Gona, Amitha is an individual health care provider with primary practice located at 3025 Ryan Dr Se , Salem OR 97301-5057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Gona, Amitha can be contacted via phone (503) 485-0350.Contact Information
Primary practice address
3025 Ryan Dr Se
Salem OR 97301-5057
Phone: (503) 485-0350
Fax: (503) 561-6442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD | Oregon |
Profile Details
| NPI number | 1053611566 |
|---|---|
| LBN Legal business name | Gona, Amitha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2010 |
| Last updated | Mar 13th, 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 | 1053611566 | NPPES |
| Oregon | MEDICAID | 500687580 |
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