Individual
PURVA GIRISH GUMASTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N ALPHA ST, GRAND ISLAND, NE 68803-4320
(308) 382-2010
Mailing address
800 N ALPHA ST, GRAND ISLAND, NE 68803-4320
(308) 382-2010
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
28476
NE
Other
Enumeration date
09/23/2009
Last updated
07/28/2015
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