Individual
ANURADHA GONUGUNTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5360 TWIN HICKORY RD, GLEN ALLEN, VA 23059-5682
(804) 346-3200
(804) 346-4075
Mailing address
1800 GLENSIDE DR, STE 105, RICHMOND, VA 23226-3769
(804) 288-2762
(804) 285-0088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7823
SD
207Q00000X
Family Medicine Physician
RL10545
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12083
—
ND
Enumeration date
10/29/2007
Last updated
06/01/2016
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