Sreenivas Dutt Gunturu, MD | |
1109 Brookdale Street, Martinsville, VA 24112 | |
(276) 666-7545 | |
(276) 632-0911 |
Full Name | Sreenivas Dutt Gunturu |
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Gender | Male |
Speciality | Pediatrics |
Location | 1109 Brookdale Street, Martinsville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164673232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101248556 (Virginia) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Martinsville Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255380887 PECOS PAC ID: 0143233346 Enrollment ID: O20060710000176 |
Mailing Address | Practice Location Address |
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Sreenivas Dutt Gunturu, MD 1109 Brookdale Street, Martinsville, VA 24112 Ph: (276) 666-7545 | Sreenivas Dutt Gunturu, MD 1109 Brookdale Street, Martinsville, VA 24112 Ph: (276) 666-7545 |
Mrs. Tammi Parker Hampton, FNP-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Cleveland Ave Ste 14, Martinsville, VA 24112 Phone: 434-429-3871 | |
Dr. Mary Quentin Barnes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15 Cleveland Ave, 14, Martinsville, VA 24112 Phone: 276-632-9714 | |
Mary Elizabeth Noonan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 314 Fairy Street Ext Ste A, Martinsville, VA 24112 Phone: 276-638-5437 Fax: 276-666-6686 | |
Dr. David W Seamon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Cleveland Ave, Suite 14, Martinsville, VA 24112 Phone: 276-632-9714 Fax: 276-632-0620 | |
Dr. John J Engel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Cleveland Ave, Suite 14 Childrens Medical Center Ltd, Martinsville, VA 24112 Phone: 276-632-9714 Fax: 276-632-0620 | |
Kathryn Cabot Self, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1109 Brookdale St, Suite C, Martinsville, VA 24112 Phone: 276-666-7545 Fax: 276-632-0912 |