Gorantla Govindaiah in East Moline - Specialist
Gorantla Govindaiah - NPI 1952399354
Gorantla Govindaiah is a Specialist in East Moline, Illinois. Gorantla Govindaiah practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gorantla Govindaiah is 1952399354. The last update date is 2009-04-06.
Gorantla Govindaiah's current location address is 4366 Kennedy Dr, East Moline, Illinois. You can contact this provider via phone number 3097961510 and fax number 3097961565. The mailing address for Gorantla Govindaiah is 4366 Kennedy Dr, East Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gorantla Govindaiah |
|---|---|
| Address | 4366 Kennedy Dr, East Moline, Illinois |
| Phone Number | 3097961510 |
| Fax Number | 3097961565 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1952399354 |
|---|---|
| Provider Enumeration Date | 2005-10-10 |
| Last Updated Date | 2009-04-06 |
Provider Mailing Address Detail
| Address | 4366 Kennedy Dr |
|---|---|
| City | East Moline |
| State | Illinois (IL) |
| Post Code | 612444202 |
| Phone Number | 3097961510 |
| Fax Number | 3097961565 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 3649003 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identifier code issued to Gorantla Govindaiah by the Centers for Medicare & Medicaid Services?
The Gorantla Govindaiah has been assigned the NPI (National Provider Identifier) 1952399354. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Gorantla Govindaiah is physically located?
The Gorantla Govindaiah is situated at the following address: 4366 Kennedy Dr, East Moline, IL 612444202.
What is Gorantla Govindaiah's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gorantla Govindaiah is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Gorantla Govindaiah receive its 1952399354 assignment from the Centers for Medicare & Medicaid Services?
The Gorantla Govindaiah was assigned its 1952399354 by the Centers for Medicare & Medicaid Services on 2005-10-10.
As of what date were the details pertaining to Gorantla Govindaiah last refreshed?
The information related to the Gorantla Govindaiah, including its address, specialty, and other relevant details, was last updated on 2009-04-06.