Individual
DR. SANDEEP GUTTIKONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-7208
(214) 648-3916
(214) 648-8423
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-5347
(214) 648-3916
(214) 648-8423
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P4315
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
MO
Other
Enumeration date
05/05/2009
Last updated
09/15/2014
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