Provider Demographics
NPI:1912260613
Name:GUHA, PAULAMI (MBBS)
Entity Type:Individual
Prefix:
First Name:PAULAMI
Middle Name:
Last Name:GUHA
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 16568
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32245-6568
Mailing Address - Country:US
Mailing Address - Phone:904-472-2300
Mailing Address - Fax:904-472-2330
Practice Address - Street 1:836 PRUDENTIAL DR STE 1600
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207
Practice Address - Country:US
Practice Address - Phone:904-399-4862
Practice Address - Fax:904-472-2330
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2018-07-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME127925207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology