Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gauthami Reddy Churukanti, MD

Individual provider Specialist · NPI 1962763219

Dr. Gauthami Reddy Churukanti, MD is an Urology in Stony Brook, New York. Qualified in 2012, 14 years ago. Practices with Stony Brook Urology University Faculty Practice Corporation, a 37-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
14
Licensed in
PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Nicolls Rd # HSCT9040
Stony Brook, NY 11794-8265
Phone: (631) 444-2348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2350 Freedom Way Ste 102, York, PA 17402-8265 — (717) 741-9536

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD460958 (PA)
Specialist Taxonomy 174400000X · Licence MD460958 (PA)

Record details

NPI number1962763219
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2012
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Stony Brook Urology University Faculty Practice Corporation — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Stony Brook