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Individual

AMIT GUTTIGOLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1018 E WHEATLAND RD, DUNCANVILLE, TX 75116-4914
(469) 513-2666
(469) 513-2667
Mailing address
8144 WALNUT HILL LN STE 450, DALLAS, TX 75231-0906
(469) 513-2666
(469) 513-2667

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
49721
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8P5840
BCBS
TN
01
P00243855
RAILROAD MEDICARE
TX
Enumeration date
07/12/2006
Last updated
12/12/2016
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