Gudavalli, Goutham

Gudavalli, Goutham is an sole proprietor health care provider with primary practice located at 211 4Th St , Alexandria LA 71301-8421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Gudavalli, Goutham can be contacted via phone (318) 769-3000.

Contact Information

Primary practice address
211 4Th St Alexandria LA 71301-8421
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 324147 Louisiana

Profile Details

NPI number 1841604931
LBN Legal business name Gudavalli, Goutham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2014
Last updated Jul 21st, 2022 - about 2 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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