Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOKANATHAM GUMIDYALA
Active Sole ProprietorLOKANATHAM GUMIDYALA is a Emergency Medicine healthcare provider located in GENESEO, Illinois. NPI 1235244336 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · GENESEO, IL
Registration Details
- NPI Number
- 1235244336
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2006 (19.994744832794 yrs)
- Last Updated
- Apr 25, 2013
- Licenses
-
36063714 (IL)N2099 (TX)45766 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 N COLLEGE AVEGENESEO, IL, 612541091Browse IL providers · Browse ZIP 61254
- Phone
- 3099446431
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Emergency Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.