Gunnala, Vikram
Gunnala, Vikram is an individual health care provider with primary practice located at 11116 Medical Campus Rd , Hagerstown MD 21742-6710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gunnala, Vikram can be contacted via phone (301) 790-8804.Contact Information
Primary practice address
11116 Medical Campus Rd
Hagerstown MD 21742-6710
Phone: (301) 790-8804
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | H80041 | Maryland |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-111820 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 02003411A | Indiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036111820 | Illinois |
Profile Details
| NPI number | 1356414890 |
|---|---|
| LBN Legal business name | Gunnala, Vikram |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jan 9th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356414890 | NPPES |
| Indiana | Other | 000000612723 | BCBS |
| Indiana | MEDICAID | 200930590 | BCBS |
Popular Providers
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Howell, Mary Patrice
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Brown-Tisdale, Chuckia Nicole
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Ryan, Jacqueline
11116 Medical Campus Rd , Hagerstown MD 21742-6710 -
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Pooran, Milad L
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Bashir, Showkat
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Krishnamoorthy, Mahesh
11110 Medical Campus Rd Suite 150, Hagerstown MD 21742-6700