VIVEK V. GURUDUTT


Address: 1360 Upper Hembree Rd, Suite 201b, Roswell, GA 30076-1171
Phone: 7704753361

VIVEK V. GURUDUTT (NPI# 1093736613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093736613
Entity Type Individual
Full Name VIVEK V. GURUDUTT
Credential MD
Practice Address 1360 Upper Hembree Rd
Suite 201b
Roswell
GA 30076-1171
Practice Telephone 7704753361
Practice Fax Number 7706644431
Mailing Telephone 7704753361
Mailing Fax Number 7706644431
Enumeration Date 2006-07-21
Last Update Date 2015-11-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 73912 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA MEDICARE PTAN 246039YEXC 01

Office Location

Street Address 1360 UPPER HEMBREE RD
SUITE 201B
City ROSWELL
State GA
Zip Code 30076-1171

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215928239 Jennifer L. Tirino Otolaryngology 1360 Upper Hembree Rd, Suite 101, Roswell, GA 30076-1171 2005-10-31
1447698964 Georgia Northside Ear, Nose and Throat, LLC Otolaryngology 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1171 2013-06-06
1164664595 Alpharetta Head and Neck Surgical Center, LLC Clinic/Center 1360 Upper Hembree Rd, Suite 202, Roswell, GA 30076-1171 2009-03-31
1699945311 Thomas A. Johnson, Dds Dentist 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1146 2008-03-10
1932312154 Judy Spears Audiologist 1360 Upper Hembree Rd, 201, Roswell, GA 30076-1146 2007-05-07
1326251588 Lesa Kagan Audiologist 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1146 2007-05-07
1437290004 Kshitij Vipin Majmundar Specialist 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1146 2007-02-08
1821144221 Alpharetta Women's Specialists Obstetrics & Gynecology 1360 Upper Hembree Rd, Suite # 101, Roswell, GA 30076-1146 2007-01-26
1013071273 Northside Ear, Nose & Throat, PC Allergy & Immunology 1360 Upper Hembree Rd, 201, Roswell, GA 30076-1171 2006-12-21
1316032881 Samuel Lorenzo Emergency Medicine 1360 Upper Hembree Rd, Suite 100, Roswell, GA 30076-1171 2006-10-03
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NPI Name Taxonomy Address Enumeration
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1093163750 Ryann Soutar Counselor 702 Macy Dr, Roswell, GA 30076 2016-06-02
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902908015 Peter Bailey Md Pa Otolaryngology 313 W Country Club Road, Roswell, NM 88201 2006-09-01
1225090046 Jan Delos Hobbs Otolaryngology 601 W Country Club Rd Ste 202, Roswell, NM 88201 2006-04-05
1225016454 Keith Jackson Otolaryngology 1360 Upper Hembree Rd Ste 201b, Roswell, GA 30076-1230 2006-01-06
1447798715 North Fulton Hearing Center LLC Otolaryngology 2500 Hospital Blvd, Suite 450, Roswell, GA 30076-4907 2017-02-07
1215255203 Sunny Singh Khichi Otolaryngology 2500 Hospital Boulevard, Suite 450, Roswell, GA 30076-4919 2010-05-14
1477593168 Peter Bailey Otolaryngology 313 W Country Club Rd, Suite 2, Roswell, NM 88201-5804 2006-06-08
1114905379 Andrew Diamond Otolaryngology 1360 Upper Hembree Rd, Suite 201, Roswell, GA 30076-1171 2006-01-06

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1801402714 Top Dog Solutions LLC Otolaryngology 4295 Interstate Dr Ste B, Macon, GA 31210-6815 2020-09-17
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1154822971 Coastal Ear, Nose & Throat Otolaryngology 200 Blue Moon Xing Ste 103, Pooler, GA 31322-9698 2018-02-27
1376928069 Wiley A. Parker M.d PC Otolaryngology 5669 Peachtree Dunwoody Ste 295, Atlanta, GA 30342-1719 2015-07-23
1871970210 North Atlanta Ear Nose & Throat PC Otolaryngology 4150 Deputy Bill Cantrell Memorial Dr., Suite 260, Cumming, GA 30040 2015-05-06
1235516741 Alicia Bernstein Otolaryngology 3400c Old Milton Pkwy Ste 365, Alpharetta, GA 30005-4438 2015-05-04
1730576638 Mark Arnold Otolaryngology 550 Peachtree St Ne Ste 1135550, Atlanta, GA 30308-2247 2015-04-20
1851789580 William Lawrence Nicholson Otolaryngology 360 W 37th St, Sea Island, GA 31561-9748 2015-01-05
1528473881 Nnenna Ezeilo Otolaryngology 619 S 8th St Ste 304, Griffin, GA 30224 2014-06-25
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Competitor

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City ROSWELL
Zip Code 30076

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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