Gorantla, Krishnaveni

Gorantla, Krishnaveni is an individual health care provider with primary practice located at 9130 Columbia Ave Suite B, Munster IN 46321. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gorantla, Krishnaveni can be contacted via phone (219) 836-8803.

Contact Information

Primary practice address
9130 Columbia Ave Suite B Munster IN 46321
Phone: (219) 836-8803
Fax: (219) 836-8820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01033050A Indiana

Profile Details

NPI number 1023120805
LBN Legal business name Gorantla, Krishnaveni
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 19 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 1023120805 NPPES
Indiana MEDICAID 100169620A

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