Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. VENKATAIAH GUTTA, MD
Deactivated Sole ProprietorDR. VENKATAIAH GUTTA, MD is a Legal Medicine healthcare provider located in GAFFNEY, South Carolina. NPI 1063417319 is deactivated in the NPPES registry. Verify at CMS.
Legal Medicine · GAFFNEY, SC
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1063417319
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2005 (0.75616438356164 yrs)
- Last Updated
- Oct 11, 2007
- Deactivated
- Mar 17, 2006
- License
-
9480 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
140 4TH AVEGAFFNEY, SC, 293404726Browse SC providers · Browse ZIP 29340
- Phone
- 8644875124
- Fax
- 8644875125
- Primary Specialty
-
Legal Medicine
173000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.