Gorantla Govindaiah, M.d., S.c.

NPI 1023222502 - Clinic/Center - 261QH0100X

NPI Details
NPI 1023222502
Enumeration Date 05/10/2007
Last Updated 05/15/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GORANTLA GORANTLA
Position OWNER
Phone (309) 796-1510
Fax (309) 796-1565
Practice Location
4366 KENNEDY DR
SUITE B
EAST MOLINE IL, 61244-4288, US
Phone (309) 796-1510
Fax (309) 796-1565
Business Location
4366 KENNEDY DR
SUITE B
EAST MOLINE IL, 61244-4288, US
Phone (309) 796-1510
Fax (309) 796-1565
Toxanomy
Taxonomy Code 261QH0100X
License State
License Number
Remove 1023222502 NPI Number
 

According to our database, Gorantla Govindaiah, M.d., S.c. NPI is 1023222502, taxonomy code is 261QH0100X Gorantla Govindaiah, M.d., S.c. physically located at 4366 Kennedy Dr, East Moline IL, 61244-4288. NPI Number 1033115704 has the healthcare provider type.

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1023222502 NPI number is provided on an as is basis without warranty of any kind. 1023222502 is maintained by the National Plan & Provider Enumeration System. The contents of Gorantla Govindaiah, M.d., S.c. are for informational purposes only.