| NPI | 1992113245 |
|---|---|
| Doing Business As | GANNAMANENI GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | MARTHA K MILLER Director Of Billing 765-446-5417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01059023A) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2019-04-24 |