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Individual

KRISHNA C. GURRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4440 S WASHINGTON ST - ALTRU PROFESSIONAL CENTER, GRAND FORKS, ND 58201-7245
(701) 732-7000
Mailing address
2401 DEMERS AVE - ALTRU BUSINESS CENTER, GRAND FORKS, ND 58201
(701) 780-1891

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
15535
ND
207RG0100X
Gastroenterology Physician
286056
NY
207RG0100X
Gastroenterology Physician
MD450495
PA

Other

Enumeration date
07/02/2006
Last updated
12/28/2023
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