Kiranmai Gorla MD

NPI 1760686885 - Pediatrics - 2080P0206X

NPI Details
NPI 1760686885
Gender Female
Enumeration Date 06/13/2007
Last Updated 01/24/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
1675 DEMPSTER ST
PARK RIDGE IL, 60068-1110, US
Phone (847) 723-7700
Fax (847) 723-9418
Business Location
1675 DEMPSTER ST
PARK RIDGE IL, 60068-1110, US
Phone (847) 723-7700
Fax (847) 723-9418
Toxanomy
Taxonomy Code 2080P0206X
License State Illinois
License Number 036126977
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According to our database, Kiranmai Gorla MD NPI is 1760686885, taxonomy code is 2080P0206X and license number is 036126977, license state is located at Illinois. Kiranmai Gorla MD physically located at 1675 Dempster St, Park Ridge IL, 60068-1110. NPI Number Kiranmai Gorla MD has the Individual type.

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1760686885 NPI number is provided on an as is basis without warranty of any kind. 1760686885 is maintained by the National Plan & Provider Enumeration System. The contents of Kiranmai Gorla MD are for informational purposes only.