GOUTHAM GUDAVALLI

ALEXANDRIA, LA
NPI1841604931
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: LA  324147)
Enumeration Date2014-06-17
Last Update Date2022-07-21
Business Address
GOUTHAM GUDAVALLI M.D.
211 4TH ST
ALEXANDRIA, LA 71301-8421
Phone number: 318-769-3000
Mailing Address
GOUTHAM GUDAVALLI M.D.
201 4TH ST # 30162
ALEXANDRIA, LA 71301-8421
Phone number: