Gonuguntla, Anuradha

Gonuguntla, Anuradha is an individual health care provider with primary practice located at 5360 Twin Hickory Rd , Glen Allen VA 23059-5682. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gonuguntla, Anuradha can be contacted via phone (804) 346-3200.

Contact Information

Primary practice address
5360 Twin Hickory Rd Glen Allen VA 23059-5682
Phone: (804) 346-3200
Fax: (804) 346-4075
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X RL10545 North Dakota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7823 South Dakota

Profile Details

NPI number 1811176704
LBN Legal business name Gonuguntla, Anuradha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Jun 1st, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811176704 NPPES
North Dakota MEDICAID 12083

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