Individual
DR. PURUSHOTHAM GORREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-5610
Mailing address
277 ROY CAMPBELL DR, HAZARD, KY 41701-9485
(606) 435-1708
(606) 435-2445
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
40269
KY
207R00000X
Internal Medicine Physician
2011-01467
NC
208M00000X
Hospitalist Physician
Primary
2011-01467
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40269
MD LICENSURE
KY
05
—
64129406
—
KY
Enumeration date
07/15/2006
Last updated
07/16/2025
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