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Organization
NAGESWARA R GUNTUPALLI MD INC
Active
Organization
NAGESWARA R GUNTUPALLI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAGESWARA RAO GUNTUPALLI M.D. (PSYCHIATRIST)
(626) 339-0288
Entity
Organization
Contact information
Practice address
500 WEST BADILLO STREET, COVINA, CA 91722-3762
(626) 339-0288
(626) 339-2248
Mailing address
500 WEST BADILLO STREET, COVINA, CA 91722-3762
(626) 339-0288
(626) 339-2248
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A54955
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A549550
—
CA
Enumeration date
04/13/2009
Last updated
06/03/2009
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