institution
Gorantla Govindaiah, M.d., S.c.
Health Service Clinic/Center in East Moline, Illinois
NPI 1023222502

Gorantla Govindaiah, M.d., S.c. is a Health Service Clinic/Center based in East Moline, IL and is specialized in Health Service. Gorantla Govindaiah, M.d., S.c. practices in East Moline, IL. The NPI Number for Gorantla Govindaiah, M.d., S.c. is 1023222502 and holds a License No. (Illinois).

The current practice location address for Gorantla Govindaiah, M.d., S.c. is 4366 Kennedy Dr, East Moline, IL and can be reached out via phone at 309-796-1510 and via fax at 309-796-1565.

Location: 4366 Kennedy Dr, East Moline, IL, 61244-4288
institution
Provider Profile Details
NPI Number
1023222502
Provider Name
Gorantla Govindaiah, M.d., S.c.
Credential
Provider Entity Type
Organization
Address
4366 Kennedy Dr, East Moline, IL, 61244-4288
Phone Number
309-796-1510
Fax Number
309-796-1565
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
263500 01 IL MEDICARE GROUP
8100279 01 IL BCBS
036049003 05 IL
K44585 01 IL MEDICARE INDIVIDUAL
010063712 01 RR MEDICARE
98669 01 IA WELLMARK BCBS
institution
Provider Business Practice Location Address Details
Address
4366 Kennedy Dr
City
State
Zip
61244-4288
Phone Number
309-796-1510
Fax Number
309-796-1565
person
Provider Business Mailing Address Details
Address
4366 Kennedy Dr
City
State
Zip
61244-4288
Phone Number
309-796-1510
Fax Number
309-796-1565
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.