Individual
MRS. SOWMYA GOWDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5505 S 900 E STE 240, MURRAY, UT 84117-7210
(801) 783-5011
(801) 746-3734
Mailing address
PO BOX 3299, CARSON CITY, NV 89702
(844) 207-4039
(775) 222-0056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13284
NV
208M00000X
Hospitalist Physician
Primary
7890466-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
LL1572
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346365673
NV MEDICAID
NV
Enumeration date
03/19/2007
Last updated
07/13/2017
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