P Praxis·MD
● Active Type 1 · Individual

Vivek V. Gurudutt, MD

Otolaryngology·Roswell, GA· NPI 1093736613 · Enumerated 2006 · 19 years on NPI
Gurudutt is 1 of 11 otolaryngology providers in Roswell and 1 of 450 in Georgia.
NPI age
19 years
Enumerated 2006-07-21
Primary specialty
Otolaryngology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-04-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 450 active otolaryngology providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
1360 Upper Hembree Rd, Suite 201b
Roswell, GA 300761171
📞 7704753361fax 7706644431
Mailing address
4150 Deputy Bill Cantrell Memorial Dr Suite 260
Cumming, GA 300402721
📞 7702923045fax 7702923046

Specialties

  • Otolaryngology Primary
    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...
    GA license #73912 taxonomy 207Y00000X

Identifiers

TypeValueNotes
01 (PA) 246039YEXC MEDICARE PTAN

Practice context

Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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