Individual
ANJANEYULU GUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 784-1414
Mailing address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 784-1414
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35056651G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000660724
ANTHEM
OH
05
—
0706598
—
OH
Enumeration date
08/25/2006
Last updated
03/07/2023
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