Individual
DR. SASIDHAR GUNTURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
57-69 WEST BURNSIDE AVENUE, BRONX, NY 10453-4038
(718) 839-8900
(718) 299-4030
Mailing address
85 W BURNSIDE AVE, BRONX, NY 10453-4015
(718) 483-1270
(718) 299-4030
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
287838
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2012
Last updated
07/21/2022
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