Provider Demographics
NPI:1467197046
Name:GURUMURTHY, GAYATHRI (MD)
Entity type:Individual
Prefix:DR
First Name:GAYATHRI
Middle Name:
Last Name:GURUMURTHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 LEHIGH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-7001
Mailing Address - Country:US
Mailing Address - Phone:484-822-5900
Mailing Address - Fax:866-672-9882
Practice Address - Street 1:3440 LEHIGH ST STE 102
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-7001
Practice Address - Country:US
Practice Address - Phone:484-822-5900
Practice Address - Fax:866-672-9882
Is Sole Proprietor?:No
Enumeration Date:2022-04-28
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD490722207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine