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Individual

DR. VEENA V GONUGUNTLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
600 WALNUT RIDGE DR, HARTLAND, WI 53029-9385
(262) 369-7040
(262) 369-7041
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
52522-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100010555
WI
05
1598959967
WI
01
GONUGVEE
MERCYCARE INSURANCE
WI
Enumeration date
08/29/2007
Last updated
07/21/2025
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