Individual
SAMHITHA GUNDAKARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1249 15TH ST OFC 2059, HUNTINGTON, WV 25701-3662
(304) 691-1086
Mailing address
1249 15TH ST OFC 2059, HUNTINGTON, WV 25701-3662
(304) 691-1086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1896
WV
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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