Individual
DR. SUDHEER GURRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
827 S GREEN RIVER RD, EVANSVILLE, IN 47715-4105
(812) 491-1307
(812) 473-7226
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01040825
IN
207RG0100X
Gastroenterology Physician
01040825
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100094600
—
IN
01
—
194780
PTAN
IN
Enumeration date
12/15/2006
Last updated
01/26/2021
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