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1568845220
SANJIV GOLLAKOTA
GREENWOOD, IN
NPI
1568845220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA OT016591)
Enumeration Date
2015-06-30
Last Update Date
2023-11-27
Business Address
SANJIV GOLLAKOTA DO
3000 S STATE ROAD 135 STE 310
GREENWOOD, IN 46143
Phone number: 317-497-2400
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Mailing Address
SANJIV GOLLAKOTA DO
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 46250-2890
Phone number: 317-621-9312
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