Dr Kalyan Chowdary Gorantla, MD | |
1704 Lafayette Rd Ste 5, Crawfordsville, IN 47933-1071 | |
(765) 361-3011 | |
(765) 362-5540 |
Full Name | Dr Kalyan Chowdary Gorantla |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 13 Years |
Location | 1704 Lafayette Rd Ste 5, Crawfordsville, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679832463 | NPI | - | NPPES |
300031050 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 01082863A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Franciscan Health Crawfordsville | Crawfordsville, IN | Hospital |
Franciscan Health Lafayette | Lafayette, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Franciscan Physician Network | 3072790682 | 983 |
Entity Name | Nagan, Arregui, & Davis, Mds, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831393248 PECOS PAC ID: 9931179652 Enrollment ID: O20040729001049 |
Entity Name | Franciscan Physician Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
---|---|
Dr Kalyan Chowdary Gorantla, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Kalyan Chowdary Gorantla, MD 1704 Lafayette Rd Ste 5, Crawfordsville, IN 47933-1071 Ph: (765) 361-3011 |
Dr. Rami Saydjari, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1630 Lafayette Rd, Suite 300, Crawfordsville, IN 47933 Phone: 765-361-1234 Fax: 765-361-2267 | |
Dr. Scott Edward Mimms, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1704 Lafayette Rd Ste 5, Crawfordsville, IN 47933 Phone: 765-361-3011 Fax: 765-362-5540 | |
Dan L Stewart, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1630 Lafayette Rd, Suite 300, Crawfordsville, IN 47933 Phone: 765-361-1234 Fax: 765-361-2267 |