Individual
DR. USHA RANI GUTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N EAGLE CREEK DR, LEXINGTON, KY 40509-1805
(859) 258-5102
(859) 258-5177
Mailing address
100 N EAGLE CREEK DR, LEXINGTON, KY 40509-1805
(859) 258-5102
(859) 258-5177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40078
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36000818
ASC MEDICAID GROUP
KY
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
01
—
ASC1019
ASC MEDICARE GROUP
KY
01
—
CC4966
RR MEDICARE GROUP
KY
01
—
P00312786
RR MEDICARE PIN
KY
Enumeration date
05/28/2006
Last updated
11/02/2007
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