RAM GAUTAM GORANTLA

PHOENIX, AZ
NPI1114443918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: AZ  64275)
Additional Taxonomies207R00000X Internal Medicine
(Licence: NE  7984)
Enumeration Date2017-08-14
Last Update Date2021-09-14
Business Address
RAM GAUTAM GORANTLA MD
1111 E MCDOWELL RD
PHOENIX, AZ 85006-2612
Phone number: 602-839-2000
Mailing Address
RAM GAUTAM GORANTLA MD
7710 MERCY RD STE 202
OMAHA, NE 68124-2353
Phone number: 402-280-4392