Gorantla, Praveena
Gorantla, Praveena is an sole proprietor health care provider with primary practice located at 1230 E 6Th Ave Ste 2B , Winfield KS 67156-3145. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Gorantla, Praveena can be contacted via phone (620) 222-6270.Contact Information
Primary practice address
1230 E 6Th Ave Ste 2B
Winfield KS 67156-3145
Phone: (620) 222-6270
Fax: (620) 222-6271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 04-33130 | Kansas |
Profile Details
| NPI number | 1114107182 |
|---|---|
| LBN Legal business name | Gorantla, Praveena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2007 |
| Last updated | Apr 22nd, 2019 - about 6 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 | 1114107182 | NPPES |
| Kansas | MEDICAID | 200569320A | |
| Kansas | Other | P01144793 |
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