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Contact Information

GOUTHAM GUDAVALLI, MD
211 4TH ST
ALEXANDRIA, LA71301-8421
 Phone: 318-769-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GOUTHAM GUDAVALLI · (Male)

NPI # 1841604931
Status Active
Credentials MD
Entity Individual
Enumeration date 06/17/2014
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 324147
Hospital affiliation(s)
  • RAPIDES REGIONAL MEDICAL CENTER - (Acute Care)
    211 4TH STREET
    ALEXANDRIA, LA 71301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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