SREENATH THATI GANGANNA

IOWA CITY, IA
NPI1609131770
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084E0001X Psychiatry & Neurology, Epilepsy
(Licence: IA  MD-46088)
Additional Taxonomies208000000X Pediatrics
(Licence: IA  MD-46088)
2084N0400X Psychiatry & Neurology, Neurology
(Licence: DE  C1-0012146)
2084N0400X Psychiatry & Neurology, Neurology
(Licence: IA  MD-46088)
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
(Licence: IA  MD-46088)
Enumeration Date2012-07-05
Last Update Date2024-08-02
Business Address
SREENATH THATI GANGANNA MD
200 HAWKINS DR
IOWA CITY, IA 52242
Phone number: 319-356-1851
Mailing Address
SREENATH THATI GANGANNA MD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-1851