Venkata Anand Varma Gottumukkala MD

NPI 1740510247 - Internal Medicine - 207RS0012X

NPI Details
NPI 1740510247
Gender Male
Enumeration Date 01/05/2010
Last Updated 10/01/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
2520 LUCY LEE PKWY
POPLAR BLUFF MO, 63901-2436, US
Phone (573) 727-0050
Fax
Business Location
2520 LUCY LEE PKWY
POPLAR BLUFF MO, 63901-2436, US
Phone (573) 727-0050
Fax
Toxanomy
Taxonomy Code 207RS0012X
License State Missouri
License Number 2012008173
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According to our database, Dr. Venkata Anand Varma Gottumukkala MD NPI is 1740510247, taxonomy code is 207RS0012X and license number is 2012008173, license state is located at Missouri. Venkata Anand Varma Gottumukkala MD physically located at 2520 Lucy Lee Pkwy, Poplar Bluff MO, 63901-2436. NPI Number Venkata Anand Varma Gottumukkala MD has the Individual type.

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1740510247 NPI number is provided on an as is basis without warranty of any kind. 1740510247 is maintained by the National Plan & Provider Enumeration System. The contents of Venkata Anand Varma Gottumukkala MD are for informational purposes only.