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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GANAPATHI GOTTUMUKKALA

Active Organization

GANAPATHI GOTTUMUKKALA is a Family Medicine organization located in TINLEY PARK, Illinois. NPI 1962457614 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · TINLEY PARK, IL

Registration Details

NPI Number
1962457614
Provider Type
Organization
NPI Issued
May 23, 2006 (20.217078203178 yrs)
Last Updated
Nov 25, 2009
License
036-074987 (IL)

Practice Information

Address
6701 159TH ST
SUITE B
TINLEY PARK, IL, 604771758
Browse IL providers · Browse ZIP 60477
Phone
7086140893
Fax
7083421481
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in TINLEY PARK, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.