Krishnaveni Gorantla in Munster - Obstetrics & Gynecology

Krishnaveni Gorantla - NPI 1023120805

Krishnaveni Gorantla is a Obstetrics & Gynecology in Munster, Indiana. Krishnaveni Gorantla practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Krishnaveni Gorantla is 1023120805. The last update date is 2007-07-08.

Krishnaveni Gorantla's current location address is 9130 Columbia Ave, Munster, Indiana. You can contact this provider via phone number 2198368803 and fax number 2198368820. The mailing address for Krishnaveni Gorantla is 9130 Columbia Ave, Munster, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Krishnaveni Gorantla
Address 9130 Columbia Ave, Munster, Indiana
Phone Number 2198368803
Fax Number 2198368820
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1023120805
Provider Enumeration Date 2006-08-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9130 Columbia Ave
City Munster
State Indiana (IN)
Post Code 46321
Phone Number 2198368803
Fax Number 2198368820

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No 01033050A
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100169620A IN --

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FAQs about Krishnaveni Gorantla

What is the Krishnaveni Gorantla's unique identification number?

The Krishnaveni Gorantla has been assigned the NPI (National Provider Identifier) Number 1023120805 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Krishnaveni Gorantla is physically located?

The Krishnaveni Gorantla is physically situated at the following address: 9130 Columbia Ave, Munster, IN, 46321.

What is the Krishnaveni Gorantla's area of specialization and corresponding taxonomy classification?

The Krishnaveni Gorantla's specialty field is Obstetrics & Gynecology, and it falls under the taxonomy code 207V00000X, which categorizes healthcare providers based on their specialties.

On what date did the Krishnaveni Gorantla receive its 1023120805 assignment from the Centers for Medicare & Medicaid Services?

The Krishnaveni Gorantla was assigned its 1023120805 by the Centers for Medicare & Medicaid Services on 2006-08-31.

As of what date were the details related to Krishnaveni Gorantla most recently updated or revised?

The information pertaining to Krishnaveni Gorantla, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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