Individual
DR. SHANNAROSE GUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3290 N RIDGE RD STE 220, ELLICOTT CITY, MD 21043-3657
(410) 801-2273
(410) 385-9319
Mailing address
3290 N RIDGE RD STE 220, ELLICOTT CITY, MD 21043-3657
(410) 801-2273
(410) 385-9319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0074300
MD
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
89993268
MD
Other
Enumeration date
06/25/2010
Last updated
04/23/2025
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