Gorantla, Krishnaveni
Gorantla, Krishnaveni is an individual health care provider with primary practice located at 9130 Columbia Ave Suite B, Munster IN 46321. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gorantla, Krishnaveni can be contacted via phone (219) 836-8803.Contact Information
Primary practice address
9130 Columbia Ave Suite B
Munster IN 46321
Phone: (219) 836-8803
Fax: (219) 836-8820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01033050A | Indiana |
Profile Details
| NPI number | 1023120805 |
|---|---|
| LBN Legal business name | Gorantla, Krishnaveni |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
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 | 1023120805 | NPPES |
| Indiana | MEDICAID | 100169620A |
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