Individual
ANUSHA GOLLAMUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL STUDENT (MD)
Contact information
Practice address
500 S PRESTON ST, LOUISVILLE, KY 40202-1702
(502) 852-5193
Mailing address
600 MARSHALL ST UNIT 109, LOUISVILLE, KY 40202-3637
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
KY
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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