Individual
NARSINGAM GATLA
Active
Individual
NARSINGAM GATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R6379
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054290
—
IL
01
—
194361
BLUE CROSS BLUE SHIELD
MO
05
—
207359902
—
MO
01
—
27716
GROUP HEALTH PLAN
MO
01
—
3848
CMR
MO
Enumeration date
07/10/2006
Last updated
05/19/2008
Update your record
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