Individual
DR. SAMHITHA GONUGUNTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 W 5TH ST, ODESSA, TX 79763-4206
(432) 703-5375
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2732
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R-13638
IA
390200000X
Student in an Organized Health Care Education/Training Program
BP10080570
TX
Other
Enumeration date
07/04/2022
Last updated
07/02/2025
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