Individual
HARINI GURRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9030 COLUMBIA AVE STE B, MUNSTER, IN 46321-2905
(219) 283-6160
(219) 836-6003
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01094024A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104295738
ANTHEM
IN
05
—
300091691
—
IN
Enumeration date
03/27/2018
Last updated
09/16/2024
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