Individual
GEORGI GURULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL ST, SURGERY, RICHMOND, VA 23298-5051
(804) 828-8146
(804) 828-2307
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101244090
VA
208800000X
Urology Physician
25MA07655400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029246
—
NJ
Enumeration date
09/20/2006
Last updated
10/01/2008
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