Ganapathi Gottumukkala in Matteson - Family Medicine
Ganapathi Gottumukkala - NPI 1962457614
Ganapathi Gottumukkala is a Family Medicine in Matteson, Illinois. Ganapathi Gottumukkala practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ganapathi Gottumukkala is 1962457614. The last update date is 2009-11-25.
Ganapathi Gottumukkala's current location address is Po Box 849, Matteson, Illinois. You can contact this provider via phone number 7087475850 and fax number 7087479991. The mailing address for Ganapathi Gottumukkala is Po Box 849, Matteson, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ganapathi Gottumukkala |
|---|---|
| Address | Po Box 849, Matteson, Illinois |
| Phone Number | 7087475850 |
| Fax Number | 7087479991 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SOLE PROPR |
|---|---|
| Authorized Official Name | Gottumukkala Ganapathi |
| Credentials | M.D. |
| Telephone Number | 7086140893 |
NPI Number Detail
| NPI Number | 1962457614 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2009-11-25 |
Provider Mailing Address Detail
| Address | Po Box 849 |
|---|---|
| City | Matteson |
| State | Illinois (IL) |
| Post Code | 604430849 |
| Phone Number | 7087475850 |
| Fax Number | 7087479991 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 036-074987 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1625532 | IL | BCBSIL GROUP # |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ganapathi Gottumukkala by the Centers for Medicare & Medicaid Services?
The Ganapathi Gottumukkala has been assigned the NPI (National Provider Identifier) 1962457614 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Ganapathi Gottumukkala is located?
The Ganapathi Gottumukkala is situated at the following address: Po Box 849, Matteson, IL, 604430849.
What is the Ganapathi Gottumukkala's area of specialization and corresponding taxonomy classification?
The Ganapathi Gottumukkala's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Ganapathi Gottumukkala receive its 1962457614 assignment from the Centers for Medicare & Medicaid Services?
The Ganapathi Gottumukkala was assigned its 1962457614 by the Centers for Medicare & Medicaid Services on 2006-05-23.
When was the information related to Ganapathi Gottumukkala most recently updated or refreshed?
The details pertaining to the Ganapathi Gottumukkala, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-11-25.
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