Provider Demographics
NPI:1992805410
Name:GUTTI, SAI P (MD)
Entity type:Individual
Prefix:DR
First Name:SAI
Middle Name:P
Last Name:GUTTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2158
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41502-2158
Mailing Address - Country:US
Mailing Address - Phone:606-437-4100
Mailing Address - Fax:606-432-6009
Practice Address - Street 1:515 N BYPASS RD
Practice Address - Street 2:SUITE 101
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-1331
Practice Address - Country:US
Practice Address - Phone:606-437-4100
Practice Address - Fax:606-432-6009
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY29929208VP0014X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005714478Medicaid
WV0060593000Medicaid
KY64299290Medicaid
KY1684901Medicare PIN
WV0060593000Medicaid