Individual
GUNDUMALLA S GOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7500 AUBURN RD # 2300, CONCORD TWP, OH 44077-9176
(440) 350-7444
(440) 350-7440
Mailing address
24701 EUCLID AVE, THIRD FL, EUCLID, OH 44117-1714
(216) 692-1144
(216) 201-4536
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35044133
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0468480
—
OH
Enumeration date
06/21/2005
Last updated
09/09/2015
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