NPI 1093736613

Vivek V. Gurudutt, MD

Practitioner Otolaryngology Physician Roswell, GA

Practice location

Address: 1360 Upper Hembree Rd Suite 201b, Roswell, GA 30076-1171
Phone: (770) 475-3361
Fax: (770) 664-4431
Mailing address: 4150 Deputy Bill Cantrell Memorial Dr Suite 260, Cumming, GA 30040-2721

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 73912 (GA)

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Registry record

NPI: 1093736613
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2006
Record last updated: 6 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.