Gonuguntla, Ashweena

Gonuguntla, Ashweena is an individual health care provider with primary practice located at 804 Service Rd Suite A110, East Lansing MI 48824-7015. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gonuguntla, Ashweena can be contacted via phone (517) 353-3003.

Contact Information

Primary practice address
804 Service Rd Suite A110 East Lansing MI 48824-7015
Fax: (517) 353-5514
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301087991 Michigan

Profile Details

NPI number 1134182009
LBN Legal business name Gonuguntla, Ashweena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated May 15th, 2024 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134182009 NPPES
Michigan MEDICAID 4947612
Michigan MEDICAID 00A839370
Michigan MEDICAID 1134182009

Popular Providers