LOKANATHAM GUMIDYALA

GENESEO, IL
NPI1235244336
Professional NameLOKANATHAM GUMIDYALA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: KY  45766)
Additional Taxonomies146D00000X Personal Emergency Response Attendant
(Licence: IL  36063714)
207P00000X Emergency Medicine
(Licence: TX  N2099)
Enumeration Date2006-08-20
Last Update Date2013-04-25
Business Address
-- LOKANATHAM GUMIDYALA
600 N COLLEGE AVE
GENESEO, IL 61254-1091
Phone number: 309-944-6431
Mailing Address
-- LOKANATHAM GUMIDYALA
600 N COLLEGE AVE
GENESEO, IL 61254-1091
Phone number: 309-944-6431