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Ganapathi Gottumukkala
Family Medicine Physician in Tinley Park, Illinois
NPI 1962457614

Ganapathi Gottumukkala is a Family Medicine Physician based in Matteson, IL. Ganapathi Gottumukkala practices in Tinley Park, IL. The NPI Number for Ganapathi Gottumukkala is 1962457614 and holds a License No. 036-074987 (Illinois).

The current practice location address for Ganapathi Gottumukkala is 6701 159Th St, Tinley Park, IL and can be reached out via phone at 708-614-0893 and via fax at 708-342-1481.

Location: 6701 159Th St, Tinley Park, IL, 60443-0849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962457614
Provider Name
Ganapathi Gottumukkala
Credential
Provider Entity Type
Organization
Address
6701 159Th St, Tinley Park, IL, 60443-0849
Phone Number
708-614-0893
Fax Number
708-342-1481
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01625532 01 IL BCBSIL GROUP #
institution
Provider Business Practice Location Address Details
Address
6701 159Th St
City
Tinley Park
State
Illinois
Zip
60477-1758
Phone Number
708-614-0893
Fax Number
708-342-1481
person
Provider Business Mailing Address Details
Address
6701 159Th St
City
Tinley Park
State
Illinois
Zip
60477-1758
Phone Number
708-614-0893
Fax Number
708-342-1481
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036-074987 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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