Gottimukkala, Maruthi V
Gottimukkala, Maruthi V is an individual health care provider with primary practice located at 111 Medical Pkwy Suite 300, Chesapeake VA 23320-0302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gottimukkala, Maruthi V can be contacted via phone (757) 547-2233.Contact Information
Primary practice address
111 Medical Pkwy Suite 300
Chesapeake VA 23320-0302
Phone: (757) 547-2233
Fax: (757) 962-1254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101041083 | Virginia |
Profile Details
| NPI number | 1861428518 |
|---|---|
| LBN Legal business name | Gottimukkala, Maruthi V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Aug 12th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861428518 | NPPES |
| Virginia | Other | 15848 | OPTIMA HEALTH PLAN |
| Virginia | Other | PAR | OPTIMA HEALTH PLAN |
| Virginia | Other | 0604X | OPTIMA HEALTH PLAN |
| Virginia | Other | PAR | OPTIMA HEALTH PLAN |
| Virginia | Other | PAR | OPTIMA HEALTH PLAN |
| Virginia | MEDICAID | 1861428518 | OPTIMA HEALTH PLAN |
| Virginia | Other | 295590 | OPTIMA HEALTH PLAN |
| Virginia | Other | PAR | OPTIMA HEALTH PLAN |
| Virginia | Other | 187095 | OPTIMA HEALTH PLAN |
| Virginia | Other | PAR | OPTIMA HEALTH PLAN |
| Virginia | Other | PAR | OPTIMA HEALTH PLAN |
| Virginia | Other | PAR | OPTIMA HEALTH PLAN |
| Virginia | Other | 10015737 | OPTIMA HEALTH PLAN |
| Virginia | MEDICAID | 890604X | OPTIMA HEALTH PLAN |
| Virginia | MEDICAID | 010226805 | OPTIMA HEALTH PLAN |
| Virginia | Other | 413773 | OPTIMA HEALTH PLAN |
| Virginia | Other | PAR | OPTIMA HEALTH PLAN |
| Virginia | Other | -001 | OPTIMA HEALTH PLAN |
| Virginia | Other | 313773 | OPTIMA HEALTH PLAN |
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