Gorantla Govindaiah, M.D., S.C. in East Moline - Health Service
Gorantla Govindaiah, M.D., S.C. - NPI 1023222502
Gorantla Govindaiah, M.D., S.C. is a Health Service in East Moline, Illinois. Gorantla Govindaiah, M.D., S.C. practices all healthcare services and medical treatments related to Health Service. The NPI Number for Gorantla Govindaiah, M.D., S.C. is 1023222502. The last update date is 2008-05-15.
Gorantla Govindaiah, M.D., S.C.'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, M.D., S.C. is 4366 Kennedy Dr, East Moline, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gorantla Govindaiah, M.D., S.C. |
|---|---|
| Address | 4366 Kennedy Dr, East Moline, Illinois |
| Phone Number | 3097961510 |
| Fax Number | 3097961565 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Govindaiah Gorantla |
| Credentials | MD |
| Telephone Number | 3097961510 |
NPI Number Detail
| NPI Number | 1023222502 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2008-05-15 |
Provider Mailing Address Detail
| Address | 4366 Kennedy Dr |
|---|---|
| City | East Moline |
| State | Illinois (IL) |
| Post Code | 612444288 |
| Phone Number | 3097961510 |
| Fax Number | 3097961565 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 263500 | IL | MEDICARE GROUP | |
| 8100279 | IL | BCBS | |
| 36049003 | IL | -- | |
| K44585 | IL | MEDICARE INDIVIDUAL | |
| 10063712 | RR MEDICARE | ||
| 98669 | IA | WELLMARK BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gorantla Govindaiah, M.D., S.C. by the Centers for Medicare & Medicaid Services?
The Gorantla Govindaiah, M.D., S.C. has been issued the NPI (National Provider Identifier) 1023222502 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Gorantla Govindaiah, M.D., S.C.'s facilities are geographically located?
The facilities of Gorantla Govindaiah, M.D., S.C. are physically situated at the following location: 4366 Kennedy Dr, East Moline, IL, 612444288.
What is Gorantla Govindaiah, M.D., S.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Gorantla Govindaiah, M.D., S.C.'s area of specialization is Health Service, and the corresponding taxonomy code that categorizes this field of practice is 261Qh0100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023222502 to Gorantla Govindaiah, M.D., S.C.?
The Centers for Medicare & Medicaid Services originally issued the 1023222502 to Gorantla Govindaiah, M.D., S.C. on 2007-05-10.
When was the information regarding Gorantla Govindaiah, M.D., S.C., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gorantla Govindaiah, M.D., S.C., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-15.
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