SUJANA GOTTUMUKKALA

PORTLAND, ME
NPI1134613730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: ME  MD26872)
Additional Taxonomies2085R0001X 
(Licence: NH  25239)
Enumeration Date2018-06-18
Last Update Date2025-05-19
Business Address
Dr. SUJANA GOTTUMUKKALA MD
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-482-7800
Mailing Address
Dr. SUJANA GOTTUMUKKALA MD
324 GANNETT DR STE 200
SOUTH PORTLAND, ME 04106-3266
Phone number: 207-482-7800
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