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Individual

DR. VENKATA C GOURINENI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
988 OAK RIDGE TPKE, SUITE 200, OAK RIDGE, TN 37830-6930
(865) 483-4366
Mailing address
988 OAK RIDGE TPKE, SUITE 200, OAK RIDGE, TN 37830-6930
(865) 483-4366

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51178
CT
207RG0100X
Gastroenterology Physician
Primary
45468
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q022553
TN
Enumeration date
07/15/2009
Last updated
08/24/2016
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