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Individual
VEERENDRA K. GUTTA
Active
Individual
VEERENDRA K. GUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23511
WV
207R00000X
Internal Medicine Physician
35088040
OH
207R00000X
Internal Medicine Physician
48029
TN
207R00000X
Internal Medicine Physician
Primary
Q0645
TX
208M00000X
Hospitalist Physician
48029
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204503
OH MEDICAID UNISON
OH
01
—
000000504253
ANTHEM BCBS
—
01
—
001900399
MOUNTAIN STATE BCBS
—
01
—
2702025
MOLINA MEDICAID
OH
05
—
2702025
—
OH
01
—
310717085156
OHIO MEDICAID CARESOURCE
OH
05
—
3810006339
—
WV
01
—
P00347423
RR MEDICARE
—
Enumeration date
08/10/2006
Last updated
09/12/2014
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