Individual
MADHURI GOGINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
748 S MAIN ST, CHEBOYGAN, MI 49721-2220
(231) 627-1438
(231) 627-1471
Mailing address
15 W 18TH ST, 5A, NEW YORK, NY 10011-4624
(321) 961-1181
(646) 329-6397
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME89139
FL
Other
Enumeration date
10/28/2005
Last updated
07/08/2007
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