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Individual
SUBBARAO GORTI
Active
Individual
SUBBARAO GORTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD048575L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013058920001
—
PA
05
—
0013058950002
—
PA
05
—
0013058950006
—
PA
01
—
01305895-02
AMERICHOICE
PA
01
—
0279193000
IBC,KEYSTONE
PA
01
—
080105711
RAILROAD MEDICARE
PA
01
—
1022053
KEYSTONE MERCY
PA
01
—
1024550
UNITED HEALTHCARE
PA
01
—
118031
AETNA
PA
01
—
186650
HIGHMARK BLUE SHIELD
PA
01
—
3832822
CIGNA
PA
01
—
810159612
PHCS
PA
01
—
8696
CLEAR CARE
PA
01
—
PA0049853
TRICARE
PA
Enumeration date
05/05/2006
Last updated
07/21/2021
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