Gannamaneni, Krishna
Gannamaneni, Krishna is an individual health care provider with primary practice located at 1345 Unity Pl Ste 110 , Lafayette IN 47905-5768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Gannamaneni, Krishna can be contacted via phone (765) 807-2787.Contact Information
Primary practice address
1345 Unity Pl Ste 110
Lafayette IN 47905-5768
Phone: (765) 807-2787
Fax: (765) 807-2789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01059023A | Indiana |
Profile Details
| NPI number | 1235107673 |
|---|---|
| LBN Legal business name | Gannamaneni, Krishna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Aug 6th, 2021 - about 5 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 | 1235107673 | NPPES |
| Indiana | MEDICAID | 200486540A |
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