Individual
SUDHIR BABU GUTHIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5541
Mailing address
5008 BRITTONFIELD PKWY, SUITE 100, EAST SYRACUSE, NY 13057-9248
(315) 234-7600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
142290
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00542012
—
NY
Enumeration date
02/21/2006
Last updated
07/20/2012
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