Individual
DR. GURUMURTHAIAH V NAGABHUSHANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
470 CANISTEO ST, HORNELL, NY 14843
(607) 324-4414
(607) 324-6072
Mailing address
470 CANISTEO ST, HORNELL, NY 14843
(607) 324-4414
(607) 324-6072
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1261591
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00484313
—
NY
Enumeration date
03/22/2006
Last updated
04/01/2021
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