Individual
GOWTHAMI GENGATHARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-3580
(757) 594-3653
Mailing address
856 J CLYDE MORRIS BLVD STE A, NEWPORT NEWS, VA 23601-1318
(757) 316-5800
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0101285615
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/05/2022
Last updated
08/12/2025
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