Individual
SAIKRISHNA CHAITANYA GOURISHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 N CAROLINE ST FL 6, BALTIMORE, MD 21287-0006
(978) 319-3470
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D0091489
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00142533101
—
MD
Enumeration date
03/19/2018
Last updated
07/21/2023
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