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1114107182
PRAVEENA GORANTLA
WICHITA, KS
NPI
1114107182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: KS 04-33130)
Enumeration Date
2007-11-07
Last Update Date
2024-08-16
Business Address
Dr. PRAVEENA GORANTLA M.D
1921 N WEBB RD
WICHITA, KS 67206-3405
Phone number: 316-612-4815
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Mailing Address
Dr. PRAVEENA GORANTLA M.D
1921 N WEBB RD
WICHITA, KS 67206-3405
Phone number: 316-612-4815
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