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Organization
GOWRI D SATHIRAJU MD PA
Active
Organization
GOWRI D SATHIRAJU MD PA
Active
Other names
As Above
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GOWRI DEVI SATHIRAJU MD (DR)
(828) 879-3400
Entity
Organization
Contact information
Practice address
560 MALCOLM BLVD., SUITE F, RUTHERFORD COLLEGE, NC 28671-0848
(828) 879-3400
(828) 879-3403
Mailing address
560 MALCOLM BLVD, SUITE F, RUTHERFORD COLLEGE, NC 28671
(828) 879-3400
(828) 879-3403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200001429
NC
207R00000X
Internal Medicine Physician
9901311
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014W
BLUE CROSS BLUE SHIELD
NC
01
—
2332147
MEDICARE PTAN
NC
05
—
89014MW
—
NC
Enumeration date
01/08/2007
Last updated
04/30/2015
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