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NPI Code Detail

MEDICARE: KUNCHITHAPATHAM GURUMURTHY MD

MEDICARE:   KUNCHITHAPATHAM  GURUMURTHY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician35048524OH

General Provider Information

NPI Number : 1417943192
Entity Type Code : Individual
Provider Name (Legal Business Name) : KUNCHITHAPATHAM GURUMURTHY MD
Provider Business Mailing Address
First Line : 1 PERKINS SQ
Second Line :
City : AKRON
State : OH
Zip : 44308-1063
Country : US
Telephone Number : 330-856-9699
Fax Number : 330-856-9935
Provider Business Practice Location Address
First Line : 5000 E MARKET ST STE 30
Second Line :
City : WARREN
State : OH
Zip : 44484-2259
Country : US
Telephone Number : 330-856-9699
Fax Number : 330-856-9935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 03/10/2021

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Directions to “ KUNCHITHAPATHAM GURUMURTHY MD” Practice Location

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