SHIVSAI GONGALLA

PHILADELPHIA, PA
NPI1376228239
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: PA  MT229487)
Enumeration Date2023-06-19
Last Update Date2023-06-19
Business Address
Dr. SHIVSAI GONGALLA MD
100 E LEHIGH AVE UNIT N238
PHILADELPHIA, PA 19125-1012
Phone number: 215-707-1200
Mailing Address
Dr. SHIVSAI GONGALLA MD
1050 N HANCOCK ST # N238
PHILADELPHIA, PA 19123-2342
Phone number:
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