Individual
DR. PRAVEEN GUTURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MD
Contact information
Practice address
11027 MERIDIAN AVE N STE 100, SEATTLE, WA 98133-1705
(206) 365-4492
Mailing address
9500 S DADELAND BLVD STE 200, MIAMI, FL 33156-2866
(305) 468-4185
(305) 675-3378
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP1-0028946
TX
207RG0100X
Gastroenterology Physician
Primary
MD60329062
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4651532892
MYUTMB 4651532892
—
Enumeration date
08/05/2007
Last updated
05/21/2020
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