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Venkatesan R Gorantla, MD
Neonatal-Perinatal Medicine Physician in Jacksonville, Florida
NPI 1659302891

Venkatesan R Gorantla is a Neonatal-Perinatal Medicine Physician based in Jacksonville, FL and is specialized in Neonatal-Perinatal Medicine. Venkatesan R Gorantla practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Venkatesan R Gorantla is 1659302891 and holds a License No. ME102628 (Florida).

The current practice location address for Venkatesan R Gorantla is 655 W 8Th St Fl Cc6, Jacksonville, FL and can be reached out via phone at 513-310-2392.

Location: 655 W 8Th St Fl Cc6, Jacksonville, FL, 32209-6511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659302891
Provider Name
Venkatesan R Gorantla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
655 W 8Th St Fl Cc6, Jacksonville, FL, 32209-6511
Phone Number
513-310-2392
Fax Number
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000593692 01 IN ANTHEM PROVIDER NUMBER
200523260 05 IN
institution
Provider Business Practice Location Address Details
Address
655 W 8Th St Fl Cc6
City
Jacksonville
State
Florida
Zip
32209-6511
Phone Number
513-310-2392
Fax Number
person
Provider Business Mailing Address Details
Address
655 W 8Th St Fl Cc6
City
Jacksonville
State
Florida
Zip
32209-6511
Phone Number
513-310-2392
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
2080N0001X
License No.
ME102628 (Florida)
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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