Individual
DR. VIJAY S GORANTLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3550 TERRACE ST, SUITE 670 SCAIFE HALL, PITTSBURGH, PA 15213-2500
(412) 648-9677
Mailing address
3550 TERRACE ST, SUITE 670 SCAIFE HALL, PITTSBURGH, PA 15213-2500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD442279
PA
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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