Individual
DR. THATTIL PAVUNNY GOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3201 GENERAL MEYER AVE, STE C, NEW ORLEANS, LA 70114
(504) 362-8930
(504) 362-8486
Mailing address
121 ENGLISH TURN DR, THATTIL P GOURI MD, NEW ORLEANS, LA 79131
(504) 392-2231
(504) 362-8486
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04552R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194620
—
LA
01
—
1942111
CLINIC
LA
Enumeration date
09/01/2006
Last updated
07/08/2007
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