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Individual
SREENATH THATI GANGANNA
Active
Individual
SREENATH THATI GANGANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD-46088
IA
2084E0001X
Epilepsy Physician
Primary
MD-46088
IA
2084N0400X
Neurology Physician
C1-0012146
DE
2084N0400X
Neurology Physician
MD-46088
IA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD-46088
IA
Other
Enumeration date
07/05/2012
Last updated
08/02/2024
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