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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811176704 | NPPES |
| North Dakota | MEDICAID | 12083 |
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