Individual
DR. BHANUMATHI GUTTIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
165 WINDSOR ROAD, STATEN ISLAND, NY 10314
(718) 273-6909
(718) 556-1593
Mailing address
165 WINDSOR ROAD, STATEN ISLAND, NY 10314
(718) 273-6909
(718) 556-1593
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
154113
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01723197
—
NY
Enumeration date
01/08/2007
Last updated
07/08/2007
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