Individual
DR. GOURISANKAR PRASAD DEGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 S MYRTLE AVE, SUITE A, CLEARWATER, FL 33756-3916
(727) 462-0444
(727) 462-0446
Mailing address
3001 EXECUTIVE DR STE 130, CLEARWATER, FL 33762-5323
(727) 347-0005
(727) 541-6558
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME113998
FL
Other
Enumeration date
05/24/2007
Last updated
05/12/2021
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