Individual
GOPI K GUNDUMALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4439 STATE ROUTE 159, STE 204, CHILLICOTHE, OH 45601-8207
(740) 779-8728
(740) 779-8729
Mailing address
4439 STATE ROUTE 159, STE 204, CHILLICOTHE, OH 45601-8207
(740) 779-8728
(740) 779-8729
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35.094522
OH
207RN0300X
Nephrology Physician
36942
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3011314
—
OH
05
—
3810016457
—
WV
05
—
64053077
—
KY
Enumeration date
01/27/2006
Last updated
06/27/2012
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