Praveena Gorantla in Winfield - Rheumatology

Praveena Gorantla - NPI 1114107182

Praveena Gorantla is a Rheumatology in Winfield, Kansas. Praveena Gorantla practices all healthcare services and medical treatments related to Rheumatology. The NPI Number for Praveena Gorantla is 1114107182. The last update date is 2019-04-22.

Praveena Gorantla's current location address is 1230 E 6th Ave Ste 1a, Winfield, Kansas. You can contact this provider via phone number 6202226270 and fax number 6202226271. The mailing address for Praveena Gorantla is 1230 E 6th Ave Ste 1a, Winfield, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Praveena Gorantla
Address 1230 E 6th Ave Ste 1a, Winfield, Kansas
Phone Number 6202226270
Fax Number 6202226271
Sole Proprietor Y
Credentials M.D

NPI Number Detail

NPI Number 1114107182
Provider Enumeration Date 2007-11-07
Last Updated Date 2019-04-22

Provider Mailing Address Detail

Address 1230 E 6th Ave Ste 1a
City Winfield
State Kansas (KS)
Post Code 671563144
Phone Number 6202226270
Fax Number 6202226271

Provider's Primary Taxonomy Detail

Speciality Rheumatology
Taxonomy 207Rr0500X
Licence No 04-33130
Definition:
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200569320A KS --
P01144793 RR MEDICARE

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FAQs about Praveena Gorantla

What is the unique identifier code issued to Praveena Gorantla by the Centers for Medicare & Medicaid Services?

The Praveena Gorantla has been assigned the NPI (National Provider Identifier) 1114107182. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Praveena Gorantla's physical address?

The Praveena Gorantla is physically located at 1230 E 6Th Ave Ste 1A, in the city of Winfield, KS, with the postal code 671563144.

What is the area of specialization for Praveena Gorantla, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Praveena Gorantla is Rheumatology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rr0500X.

On what date was the 1114107182 assigned to Praveena Gorantla?

The Praveena Gorantla was issued its 1114107182 on 2007-11-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

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

The information pertaining to Praveena Gorantla, including its address, specialty, and other relevant details, was last updated or revised on 2019-04-22.

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