1023222502 GORANTLA GOVINDAIAH, M.D., S.C.
Health Service Clinic/Center
Active
Basic Information
- Organization Name
- GORANTLA GOVINDAIAH, M.D., S.C.
- Enumeration Date
- May 10, 2007
- Last Update
- May 15, 2008
- Authorized Official
- DR. GORANTLA GOVINDAIAH MD
OWNER
Phone: (309) 796-1510
Practice Location
- Address
- 4366 KENNEDY DR
SUITE B
EAST MOLINE, IL 612444288 - Phone
- (309) 796-1510
- Fax
- (309) 796-1565
Mailing Address
- Address
- 4366 KENNEDY DR
SUITE B
EAST MOLINE, IL 612444288 - Phone
- (309) 796-1510
- Fax
- (309) 796-1565
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Health Service Clinic/Center Health Service | 261QH0100X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263500 | 01 | IL | MEDICARE GROUP |
| 8100279 | 01 | IL | BCBS |
| 036049003 | 05 | IL | N/A |
| K44585 | 01 | IL | MEDICARE INDIVIDUAL |
| 010063712 | 01 | N/A | RR MEDICARE |
| 98669 | 01 | IA | WELLMARK BCBS |
Frequently Asked Questions
What is GORANTLA GOVINDAIAH, M.D., S.C.'s NPI number?
GORANTLA GOVINDAIAH, M.D., S.C.'s NPI number is 1023222502.
Which doctor has NPI number 1023222502?
The doctor with NPI number 1023222502 is GORANTLA GOVINDAIAH, M.D., S.C..
What is GORANTLA GOVINDAIAH, M.D., S.C.'s practice address?
GORANTLA GOVINDAIAH, M.D., S.C.'s practice address is 4366 KENNEDY DR, SUITE B, EAST MOLINE, IL, 612444288.
Which doctor practices at 4366 KENNEDY DR, SUITE B, EAST MOLINE, IL, 612444288?
GORANTLA GOVINDAIAH, M.D., S.C. practices at 4366 KENNEDY DR, SUITE B, EAST MOLINE, IL, 612444288.
What is GORANTLA GOVINDAIAH, M.D., S.C.'s phone number?
GORANTLA GOVINDAIAH, M.D., S.C.'s phone number is (309) 796-1510.
Who is (309) 796-1510?
(309) 796-1510 is the phone number for GORANTLA GOVINDAIAH, M.D., S.C..
What is GORANTLA GOVINDAIAH, M.D., S.C.'s specialty?
GORANTLA GOVINDAIAH, M.D., S.C.'s specialty is Health Service Clinic/Center.
What type of doctor is GORANTLA GOVINDAIAH, M.D., S.C.?
GORANTLA GOVINDAIAH, M.D., S.C. is a Health Service Clinic/Center.
Is GORANTLA GOVINDAIAH, M.D., S.C. a Health Service?
Yes, GORANTLA GOVINDAIAH, M.D., S.C. is a Health Service.
Is GORANTLA GOVINDAIAH, M.D., S.C. still practicing?
Yes, GORANTLA GOVINDAIAH, M.D., S.C. is currently practicing.
Is GORANTLA GOVINDAIAH, M.D., S.C. accepting new patients?
GORANTLA GOVINDAIAH, M.D., S.C. may be accepting new patients. Please call their office at (309) 796-1510 to inquire about availability.
Is NPI 1023222502 still active?
Yes, NPI 1023222502 is currently active.
Where does GORANTLA GOVINDAIAH, M.D., S.C. practice?
GORANTLA GOVINDAIAH, M.D., S.C. practices in EAST MOLINE, IL.