Individual
DR. SAMRIDHI GULATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1340 CHARLES ST STE 401, ROCKFORD, IL 61104-2200
(779) 696-6102
Mailing address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036.167746
IL
207RP1001X
Pulmonary Disease Physician
036167746
IL
Other
Enumeration date
04/07/2018
Last updated
10/31/2024
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