Provider Demographics
NPI:1568703544
Name:SAI P. GUTTI
Entity Type:Organization
Organization Name:SAI P. GUTTI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAI
Authorized Official - Middle Name:P
Authorized Official - Last Name:GUTTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:606-437-4100
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-15
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY29929332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site