Gangu, Geetha
Gangu, Geetha is an sole proprietor health care provider with primary practice located at Peacehealth Hospital Medicine 3377 Riverbend Drive, Springfield OR 97477-8803. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Gangu, Geetha can be contacted via phone (541) 222-6389.Contact Information
Primary practice address
Peacehealth Hospital Medicine 3377 Riverbend Drive
Springfield OR 97477-8803
Phone: (541) 222-6389
Fax: (541) 222-6385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD212572 | Oregon |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 039564 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 039564 | Connecticut |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD212572 | Oregon |
Profile Details
| NPI number | 1235102138 |
|---|---|
| LBN Legal business name | Gangu, Geetha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Jul 17th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235102138 | NPPES |
| Connecticut | MEDICAID | 001395640 | |
| Connecticut | MEDICAID | 500811193 |
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