Individual
RATIKA GUNTURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
5908 GETWELL RD, SOUTHAVEN, MS 38672-7317
(901) 536-4646
(662) 536-4443
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
076321
GA
207Q00000X
Family Medicine Physician
Primary
32511
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003181527C
—
GA
05
—
003181527E
—
GA
Enumeration date
02/18/2013
Last updated
02/06/2024
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