GOWRI D SATHIRAJU MD PA NPI 1174671275

NPI Information

NPI: 1174671275
Provider Name: GOWRI D SATHIRAJU MD PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Doing Business As: AS ABOVE
Address: 560 MALCOLM BLVD.
SUITE F
RUTHERFORD COLLEGE, NC
ZIP 28671
Phone: (828) 879-3400

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NPI Details

GOWRI D SATHIRAJU MD PA is a family medicine in Rutherford College, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GOWRI D SATHIRAJU MD PA NPI is 1174671275. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As As Above.

The provider's business location address is:

560 MALCOLM BLVD.
SUITE F
RUTHERFORD COLLEGE, NC
ZIP 28671-848
Phone: (828) 879-3400
Fax: (828) 879-3403

The provider's authorized official is Gowri Devi Sathiraju .
The authorized official title is Dr and has the following contact phone number (828) 879-3400.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 4/30/2015.

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
1	207R00000X	Internal Medicine		9901311	NORTH CAROLINA	No
2	207Q00000X	Family Medicine		200001429	NORTH CAROLINA	Yes

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
1	2332147	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	GROUP NUMBER
2	89014MW	MEDICAID	NORTH CAROLINA
3	2332147	OTHER	NORTH CAROLINA	MEDICARE PTAN
4	014W	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD

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: 3/30/2025

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