Gurubhagavatula, Indira

Gurubhagavatula, Indira is an individual health care provider with primary practice located at 3624 Market St 2Nd Floor, Philadelphia PA 19104-2614. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Gurubhagavatula, Indira can be contacted via phone (215) 662-7772.

Contact Information

Primary practice address
3624 Market St 2Nd Floor Philadelphia PA 19104-2614
Phone: (215) 662-7772
Fax: (215) 349-8038
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 053054L Pennsylvania
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 053054L Pennsylvania
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 053054L Pennsylvania
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 053054L Pennsylvania

Profile Details

NPI number 1366455966
LBN Legal business name Gurubhagavatula, Indira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jun 13th, 2012 - about 12 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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