Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GAWTHAM GUTTA, MD
ActiveGAWTHAM GUTTA, MD is a Addiction Medicine (Internal Medicine) healthcare provider located in RIDGECREST, California. NPI 1245262617 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Internal Medicine) · RIDGECREST, CA
Registration Details
- NPI Number
- 1245262617
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2006 (20.140490028306 yrs)
- Last Updated
- Aug 12, 2022
- Licenses
-
036111915 (IL)C179725 (CA)
Practice Information
- Address
-
1081 N CHINA LAKE BLVDRIDGECREST, CA, 935553130Browse CA providers · Browse ZIP 93555
- Phone
- 7604463551
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
- Additional Specialty
- Addiction Medicine (Internal Medicine)
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.