Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GANAPATHI GOTTUMUKKALA, M.D.
Active Sole ProprietorDR. GANAPATHI GOTTUMUKKALA, M.D. is a Family Medicine healthcare provider located in SAINT JOHN, Indiana. NPI 1780683953 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SAINT JOHN, IN
Registration Details
- NPI Number
- 1780683953
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2005 (21.071847757144 yrs)
- Last Updated
- Sep 3, 2024
- Licenses
-
036074987 (IL)01086883A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9660 WICKER AVESAINT JOHN, IN, 463739487Browse IN providers · Browse ZIP 46373
- Phone
- 1936511772
- Fax
- 2197036662
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SAINT JOHN, IN
| Name | Credential | NPI |
|---|---|---|
| DAVID DESCHEPPER | M.D. | 1871532978 |
| DR. DANA ELSHERIF | M.D. | 1013270024 |
| SHALINI PATEL | M.D. | 1598106585 |
| JONATHAN RAMOS | — | 1487045399 |
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.