Individual
SIVA KAMAL GUNTUPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 S 52ND PLACE, SPRINGFIELD, OR 97478-6210
(541) 746-1166
(541) 393-1607
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD224541
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/21/2022
Last updated
07/07/2025
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