PRIYADARSHINI GANGULA

AMES, IA
NPI1477904589
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208M00000X Hospitalist
(Licence: IA  45817)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-06-29
Last Update Date2020-12-22
Business Address
PRIYADARSHINI GANGULA
1111 DUFF AVE
AMES, IA 50010
Phone number: 515-239-6992
Mailing Address
PRIYADARSHINI GANGULA
1215 DUFF AVE
AMES, IA 50010-5400
Phone number: 515-239-4418