Individual
DR. NAGESHWARA R. GULLAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MPH, MBA
Contact information
Practice address
30 N 1900 E RM 4A100, SALT LAKE CITY, UT 84132-0002
(801) 587-2451
Mailing address
30 N 1900 E RM 4A100, SALT LAKE CITY, UT 84132-0002
(801) 587-2451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11168
NV
207RC0000X
Cardiovascular Disease Physician
Primary
12772344-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504585
—
NV
Enumeration date
02/08/2006
Last updated
04/07/2022
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