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1841604931
GOUTHAM GUDAVALLI
ALEXANDRIA, LA
NPI
1841604931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: LA 324147)
Enumeration Date
2014-06-17
Last Update Date
2022-07-21
Business Address
GOUTHAM GUDAVALLI M.D.
211 4TH ST
ALEXANDRIA, LA 71301-8421
Phone number: 318-769-3000
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Mailing Address
GOUTHAM GUDAVALLI M.D.
201 4TH ST # 30162
ALEXANDRIA, LA 71301-8421
Phone number:
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