SIMHACHALAM GURUGUBELLI

FORT WAYNE, IN
NPI1891281820
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  01092805A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MS  29092)
207R00000X Internal Medicine
(Licence: MI  4301116161)
208M00000X Hospitalist
(Licence: MS  29092)
Enumeration Date2018-07-02
Last Update Date2024-09-03
Business Address
SIMHACHALAM GURUGUBELLI MD
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-672-6620
Mailing Address
SIMHACHALAM GURUGUBELLI MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: