Individual
SASIDHAR GUTHIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 CALLE FONT MARTELO STE 105, HUMACAO, PR 00791-3249
(787) 603-3883
Mailing address
285 PALMAS INN WAY APT 4304, HUMACAO, PR 00791-6712
(787) 603-3883
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
023764
PR
207RC0000X
Cardiovascular Disease Physician
057471
GA
207RI0011X
Interventional Cardiology Physician
Primary
023764
PR
207RI0011X
Interventional Cardiology Physician
57471
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214686737A-M
—
GA
Enumeration date
06/11/2007
Last updated
09/16/2025
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