Suneela, Gottumukkala

Suneela, Gottumukkala is an individual health care provider with primary practice located at 2996 Kate Bond Rd Suite 203, Bartlett TN 38133-4030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Suneela, Gottumukkala can be contacted via phone (901) 382-2044.

Contact Information

Primary practice address
2996 Kate Bond Rd Suite 203 Bartlett TN 38133-4030
Phone: (901) 382-2044
Fax: (901) 382-2085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000039069 Tennessee

Profile Details

NPI number 1225072044
LBN Legal business name Suneela, Gottumukkala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225072044 NPPES
Tennessee Other 4152593 BLUE CROSS

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