Keerti Gurushanthaiah
Gynecologist
9339 Genesee Ave Suite 220
San Diego
, California 92121-2121
Keerti Gurushanthaiah
Gynecologist
9339 Genesee Ave Suite 220
San Diego
, California 92121-2121
(858) 554-1312
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Keerti Gurushanthaiah
- 9339 Genesee Ave Suite 220
- San Diego, CA
- Zip : 92121-2121
- Fax : (858) 554-1312
- Phone : (858) 455-7520
Second Address
- Keerti Gurushanthaiah
- 9339 Genesee Ave Suite 220
- San Diego, CA
- Zip : 92121-2121
- Fax : (858) 554-1312
- Phone : (858) 455-7520
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | A68300 | CA |
National Provider Identifier
| NPI | 1043257066 |
|---|---|
| Provider Name | Keerti Gurushanthaiah |
| First Address | San Diego, CA 92121-2121 |
| Second Address | San Diego, CA 92121-2121 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2006 |
| Last Update Date | 16/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 330627190 | FEDERAL TAX ID (01) | CA |
| H29632 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.