Gundumalla, Gopi K
Gundumalla, Gopi K is an individual health care provider with primary practice located at 4439 State Route 159 Ste 204, Chillicothe OH 45601-8207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Gundumalla, Gopi K can be contacted via phone (740) 779-8728.Contact Information
Primary practice address
4439 State Route 159 Ste 204
Chillicothe OH 45601-8207
Phone: (740) 779-8728
Fax: (740) 779-8729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 36942 | Kentucky |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 35.094522 | Ohio |
Profile Details
| NPI number | 1003887381 |
|---|---|
| LBN Legal business name | Gundumalla, Gopi K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jun 27th, 2012 - about 13 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 | 1003887381 | NPPES |
| West Virginia | MEDICAID | 3810016457 | |
| West Virginia | MEDICAID | 64053077 | |
| West Virginia | MEDICAID | 3011314 |
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