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INDIRA GURUBHAGAVATULA M.D. NPI 1366455966


NPI Information

NPI: 1366455966
Provider Name: INDIRA GURUBHAGAVATULA, M.D.
Classification: Internal Medicine - 207RS0012X
Entity Type: Individual

Specialization: Sleep Medicine

Organization: UNIVERSITY OF PENN MEDICAL GROUP

PECOS Registration: Yes

Address:
3624 MARKET ST
2ND FLOOR
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-7772
Get Directions

Indira Gurubhagavatula, M.D. is a sleep medicine internal medicine in Philadelphia, PA with 34 years of experience. The provider is an Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. Indira Gurubhagavatula, M.D. NPI is 1366455966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

3624 MARKET ST
2ND FLOOR
PHILADELPHIA, PA
ZIP 19104-614
Phone: (215) 662-7772
Fax: (215) 349-8038

The NPI 1366455966 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 6/13/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine053054LPENNSYLVANIANo
2207RC0200XInternal MedicineCritical Care Medicine053054LPENNSYLVANIANo
3207RP1001XInternal MedicinePulmonary Disease053054LPENNSYLVANIANo
4207RS0012XInternal MedicineSleep Medicine053054LPENNSYLVANIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.