| NPI | 1093056202 |
|---|---|
| Other Name | BHARAT RAM CHOWDRY GUTTIKONDA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NM DD4457) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TX 28648) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2016-08-08 |