Individual
DR. RAJESH GUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 S HICKORY STREET, MELBOURNE, FL 32901
(321) 254-6218
(321) 254-6230
Mailing address
PO BOX 361907, MELBOURNE, FL 32906-1907
(321) 254-6218
(321) 254-6230
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME82886
FL
Other
Enumeration date
08/09/2006
Last updated
02/04/2013
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