Provider Demographics
NPI:1124351168
Name:GAURI, KAMLA (MD)
Entity type:Individual
Prefix:DR
First Name:KAMLA
Middle Name:
Last Name:GAURI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 FEHR RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-2987
Mailing Address - Country:US
Mailing Address - Phone:502-895-8105
Mailing Address - Fax:502-895-8105
Practice Address - Street 1:719 FEHR RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-2987
Practice Address - Country:US
Practice Address - Phone:502-895-8105
Practice Address - Fax:502-895-8105
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY16592207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology