Gutta, Venkataiah
Gutta, Venkataiah is an sole proprietor health care provider with primary practice located at 140 4Th Ave , Gaffney SC 29340-4726. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Gutta, Venkataiah can be contacted via phone (864) 487-5124.Contact Information
Primary practice address
140 4Th Ave
Gaffney SC 29340-4726
Phone: (864) 487-5124
Fax: (864) 487-5125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 9480 | South Carolina |
Profile Details
| NPI number | 1063417319 |
|---|---|
| LBN Legal business name | Gutta, Venkataiah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Oct 11th, 2007 - about 18 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 | 1063417319 | NPPES |
| South Carolina | MEDICAID | 094800 |
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