Gattu, Kanchana

Gattu, Kanchana is an individual health care provider with primary practice located at 22 S Greene St S11C, Baltimore MD 21201-1544. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Gattu, Kanchana can be contacted via phone (410) 328-6331.

Contact Information

Primary practice address
22 S Greene St S11C Baltimore MD 21201-1544
Phone: (410) 328-6331
Fax: (410) 328-1674
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X D0066603 Maryland
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D0066603 Maryland
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X D0066603 Maryland

Profile Details

NPI number 1881649101
LBN Legal business name Gattu, Kanchana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Oct 28th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881649101 NPPES
Maryland Other C11298 RAILROAD MEDICARE GROUP #
Maryland MEDICAID 413314500 RAILROAD MEDICARE GROUP #

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