Most Relevant Information
Provider Data
NPI Number: | 1003040031 |
Provider Name: | SANDEEP GUTTIKONDA MD |
Entity Type: | Individual |
Taxonomy Code: | 207P00000X |
Specialty: | Emergency Medicine |
License Number: | P4315 |
Most Important Dates
Enumeration Date: | 05/05/2009 |
Last Updated: | 09/15/2014 |
Provider Practice Location
5323 HARRY HINES BOULEVARD
DALLAS
TX
753907208
Practice Location Phone/Fax
Phone: | 2146483916 |
Fax: | 2146488423 |
Provider Mailing Location
P.O. BOX 845347
DALLAS
TX
752845347
Provider Mailing Phone/Fax
Phone: | 2146483916 |
Fax: | 2146488423 |