GAFFNEY UROLOGY PA NPI 1225174667

NPI Information

  • NPI: 1225174667
  • Provider Name: GAFFNEY UROLOGY PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 140 4TH AVE
    GAFFNEY, SC
    ZIP 29340
  • Phone: (864) 487-5124

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NPI Details

GAFFNEY UROLOGY PA is a specialist in Gaffney, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GAFFNEY UROLOGY PA NPI is 1225174667. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

140 4TH AVE
GAFFNEY, SC
ZIP 29340-726
Phone: (864) 487-5124
Fax: (864) 487-5125

The provider's authorized official is Venkataiah Gutta .
The authorized official title is Physician and has the following contact phone number (864) 487-5124.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 10/11/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist09480SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17616MEDICARE PINSOUTH CAROLINA
2GP3698MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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