Individual
SASIKANTH GORANTLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3160 FOLSOM BLVD STE 2100, SACRAMENTO, CA 95816-5266
(916) 734-3588
Mailing address
4860 Y ST STE 3700, SACRAMENTO, CA 95817-2307
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
C186585
CA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
C186585
CA
Other
Enumeration date
07/07/2011
Last updated
06/26/2023
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