Gondi, Gautham

Gondi, Gautham is an individual health care provider with primary practice located at 2405 Atherholt Rd , Lynchburg VA 24501-2184. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gondi, Gautham can be contacted via phone (434) 485-8500.

Contact Information

Primary practice address
2405 Atherholt Rd Lynchburg VA 24501-2184
Fax: (434) 485-8599
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101055531 Virginia

Profile Details

NPI number 1952336034
LBN Legal business name Gondi, Gautham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jun 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952336034 NPPES
Virginia MEDICAID 1952336034
Virginia MEDICAID 010160910
Virginia Other P00220180

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