Molakatalla, Phani Kishore

Molakatalla, Phani Kishore is an sole proprietor health care provider with primary practice located at 250 Green St Suite 209, Gardner MA 01440-1396. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Molakatalla, Phani Kishore can be contacted via phone (978) 669-5522.

Contact Information

Primary practice address
250 Green St Suite 209 Gardner MA 01440-1396
Phone: (978) 669-5522
Fax: (978) 632-0516
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD447302 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT194411 Pennsylvania
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 261931 Massachusetts

Profile Details

NPI number 1861620007
LBN Legal business name Molakatalla, Phani Kishore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2009
Last updated Jul 7th, 2015 - about 9 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.

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