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Individual

MISS KAVITA CHOWDARY GORANTLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9100 W 74TH ST, SHAWNEE MISSION, KS 66204-4004
(913) 676-2310
Mailing address
8000 W 110TH ST, STE 150, OVERLAND PARK, KS 66210-2338
(913) 599-6777
(913) 599-3955

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-34498
KS
2085R0202X
Diagnostic Radiology Physician
2005013256
MO
2085R0202X
Diagnostic Radiology Physician
4246-320
WI
2085R0202X
Diagnostic Radiology Physician
A106952
CA

Other

Enumeration date
03/19/2007
Last updated
07/31/2025
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