person
Dr. Gorantla Govindaiah, MD
Specialist in East Moline, Illinois
NPI 1952399354

Gorantla Govindaiah is a Specialist based in East Moline, IL. Gorantla Govindaiah practices in East Moline, IL and has the professional credentials of MD. The NPI Number for Gorantla Govindaiah is 1952399354 and holds a License No. 03649003 (Illinois).

The current practice location address for Gorantla Govindaiah 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, 61244-4202
person
Provider Profile Details
NPI Number
1952399354
Provider Name
Gorantla Govindaiah
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4366 Kennedy Dr, East Moline, IL, 61244-4202
Phone Number
309-796-1510
Fax Number
309-796-1565
Provider Enumeration Date
10/10/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4366 Kennedy Dr
City
State
Zip
61244-4202
Phone Number
309-796-1510
Fax Number
309-796-1565
person
Provider Business Mailing Address Details
Address
4366 Kennedy Dr
City
State
Zip
61244-4202
Phone Number
309-796-1510
Fax Number
309-796-1565
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
03649003 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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