Individual
RAMYA SUDHA GORTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
263732
MA
207RP1001X
Pulmonary Disease Physician
Primary
76860-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
387514
AMERICAN BOARD OF INTERNAL MEDICINE
—
Enumeration date
07/09/2015
Last updated
02/20/2023
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