Guntakandla, Jaswanth R.

Guntakandla, Jaswanth R. is an individual health care provider with primary practice located at 1104 E Grace St , Rensselaer IN 47978-3211. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Guntakandla, Jaswanth R. can be contacted via phone (219) 866-5141.

Contact Information

Primary practice address
1104 E Grace St Rensselaer IN 47978-3211
Phone: (219) 866-5141
Fax: (219) 866-3234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R-8592 Iowa
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01072068A Indiana

Profile Details

NPI number 1902036577
LBN Legal business name Guntakandla, Jaswanth R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2009
Last updated Apr 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902036577 NPPES
Indiana MEDICAID 201213510

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