Gugliada, Kumud

Gugliada, Kumud is an individual health care provider with primary practice located at 360 Bard Ave , Staten Island NY 10310-1666. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Gugliada, Kumud can be contacted via phone (718) 876-2010.

Contact Information

Primary practice address
360 Bard Ave Staten Island NY 10310-1666
Fax: (718) 876-2012
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 183879 New York

Profile Details

NPI number 1831176379
LBN Legal business name Gugliada, Kumud
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Apr 8th, 2015 - about 9 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 1831176379 NPPES
New York MEDICAID 01397406

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