Guruguri, Prathima
Guruguri, Prathima is an individual health care provider with primary practice located at 1100 Central Ave Se 4Th Floor B, Albuquerque NM 87106-4930. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Guruguri, Prathima can be contacted via phone (505) 724-6124.Contact Information
Primary practice address
1100 Central Ave Se 4Th Floor B
Albuquerque NM 87106-4930
Phone: (505) 724-6124
Fax: (505) 724-6125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New Mexico | |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD2014-0802 | New Mexico |
Profile Details
| NPI number | 1073850251 |
|---|---|
| LBN Legal business name | Guruguri, Prathima |
| Credentials | MBBS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2013 |
| Last updated | Mar 4th, 2016 - about 10 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 | 1073850251 | NPPES |
| New Mexico | MEDICAID | 69277851 |
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