Individual
MOUNIKA GUNDURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 737-1270
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
64702
CT
390200000X
Student in an Organized Health Care Education/Training Program
4301102771
MI
Other
Enumeration date
07/17/2013
Last updated
06/17/2020
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