Dr. Deva Prakash Gundupalli, MD
Family Medicine in Lincoln, ME. Individual provider (NPI-1).
NPI number1982452207
StatusActive
Last updated in NPPESAug 29, 2024
Details
- NPI
- 1982452207
- Entity type
- Individual (NPI-1)
- Name
- Dr. Deva Prakash Gundupalli
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 10, 2024
- Certification date
- Aug 29, 2024
- Last updated
- Aug 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD28133 | ME | Yes |
Practice location
175 W BroadwayLincoln, ME 04457-4000
Phone 207-794-6700
Mailing address
175 W BroadwayLincoln, ME 04457-4000
Phone 207-794-6700
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