Individual
DR. GONCHIGARI NARAYANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4350 7TH STREET A, MOLINE, IL 61265
(566) 355-9191
(563) 355-3419
Mailing address
4350 7TH STREET A, MOLINE, IL 61265
(566) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036079304
IL
2084P0800X
Psychiatry Physician
Primary
30780
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3136002
—
IA
01
—
42884
WELLMARK HEALTH PLAN
IA
01
—
IA01B1
JOHN DEERE HEALTH PLAN
—
Enumeration date
10/06/2005
Last updated
02/09/2015
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