Individual
MISS KAVITA CHOWDARY GORANTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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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