Individual
MR. ANANDA REDDY GURRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
557 SANDHURST DR, FAYETTEVILLE, NC 28304-4433
(910) 484-8114
(910) 484-1564
Mailing address
557 SANDHURST DR, FAYETTEVILLE, NC 28304-4433
(910) 484-8114
(910) 484-1564
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301094184
MI
207RN0300X
Nephrology Physician
Primary
201201420
NC
208M00000X
Hospitalist Physician
201201420
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427287267
—
NC
Enumeration date
07/14/2009
Last updated
05/10/2017
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