Provider Demographics
NPI:1598147902
Name:GURRAM, POOJA REDDY (MD)
Entity type:Individual
Prefix:DR
First Name:POOJA
Middle Name:REDDY
Last Name:GURRAM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 100289
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0289
Mailing Address - Country:US
Mailing Address - Phone:352-273-5105
Mailing Address - Fax:352-392-6481
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3003
Practice Address - Country:US
Practice Address - Phone:352-273-5105
Practice Address - Fax:352-392-6481
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2024-11-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME153447207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease