Individual
DR. SAI M GUNDAVARPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 872-2432
(513) 872-8857
Mailing address
3180 KETTERING BLVD, DAYTON, OH 45439-1924
(937) 293-0247
(937) 293-0960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35079968
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000495693
ANTHEM
—
05
—
2292719
—
OH
Enumeration date
06/27/2006
Last updated
12/31/2007
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