Gorantla Govindaiah, M.d., S.c.
NPI #1023222502 in East Moline, Illinois
Provider Information
- NPI Number
- 1023222502
- Entity Type
- Organization
- Organization Name
- Gorantla Govindaiah, M.d., S.c.
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- May 10, 2007
- Last Updated
- May 15, 2008
Practice Location
- Address
- 4366 KENNEDY DR
- Address 2
- SUITE B
- City
- East Moline
- State
- Illinois
- ZIP Code
- 61244-4288
- Phone
- (309) 796-1510
Authorized Official
- Name
- DR. GORANTLA GOVINDAIAH, MD
- Title
- OWNER
- Phone
- (309) 796-1510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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