GANGADHAR RAO MALASANA

CARBONDALE, IL
NPI1891948014
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0011X Internal Medicine, Interventional Cardiology
(Licence: IL  036138196)
Additional Taxonomies207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IL  036138196)
Enumeration Date2008-10-31
Last Update Date2020-11-02
Business Address
Dr. GANGADHAR RAO MALASANA MD
409 W OAK ST
CARBONDALE, IL 62901-1464
Phone number: 618-529-4455
Mailing Address
Dr. GANGADHAR RAO MALASANA MD
409 W OAK ST
CARBONDALE, IL 62901-1464
Phone number: 618-529-4455