Gannamaneni Gastroenterology | |
1345 Unity Pl Ste 110 Lafayette IN 47905-5768 | |
(765) 807-2787 | |
(765) 807-2786 |
Full Name | Gannamaneni Gastroenterology |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 1345 Unity Pl Ste 110, Lafayette, Indiana |
Authorized Official Name and Position | Martha K Miller (DIRECTOR OF BILLING) |
Authorized Official Contact | 7654465417 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gannamaneni Gastroenterology Po Box 4699 Lafayette IN 47903-4699 Ph: (765) 449-2732 | Gannamaneni Gastroenterology 1345 Unity Pl Ste 110 Lafayette IN 47905-5768 Ph: (765) 807-2787 |
NPI Number | 1992113245 |
---|---|
Provider Enumeration Date | 07/31/2014 |
Last Update Date | 04/24/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992113245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 01059023A (Indiana) | Primary |
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