| 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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