Gudapati, Benerji

Gudapati, Benerji is an sole proprietor health care provider with primary practice located at 441 N Wabash , Marion IN 46952-2612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Gudapati, Benerji can be contacted via phone (765) 660-6000.

Contact Information

Primary practice address
441 N Wabash Marion IN 46952-2612
Phone: (765) 660-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01061188A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01061188A Indiana

Profile Details

NPI number 1962459099
LBN Legal business name Gudapati, Benerji
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2006
Last updated Oct 13th, 2020 - about 4 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 1962459099 NPPES
Indiana MEDICAID 200825710
Indiana Other 000001155405

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