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Contact Information

GAUTHAMI R CHURUKANTI, MD
101 NICOLLS RD # HSCT9040
STONY BROOK, NY11794-8265
 Phone: 631-444-2348
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for GAUTHAMI R CHURUKANTI · (Female)

NPI Number 1962763219
Status Active
Credentials MD
Entity Individual
Enumeration date 06/04/2012
Last updated 04/29/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD460958
Hospital affiliation(s)
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
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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