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1235107673
KRISHNA GANNAMANENI
LAFAYETTE, IN
NPI
1235107673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: IN 01059023A)
Enumeration Date
2006-03-10
Last Update Date
2021-08-06
Business Address
KRISHNA GANNAMANENI MD
1345 UNITY PL STE 110
LAFAYETTE, IN 47905-5768
Phone number: 765-807-2787
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Mailing Address
KRISHNA GANNAMANENI MD
PO BOX 4699
LAFAYETTE, IN 47903-4699
Phone number: 765-449-2732
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