Individual
GURU A R GOPIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5376
(304) 420-7161
Mailing address
800 GARFIELD AVE, PARKERSBURG, WV 26101-5376
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31012
WV
207R00000X
Internal Medicine Physician
P14759
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/11/2019
Last updated
06/23/2022
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