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Individual

GATTU PANISRI RAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1227 BALTIMORE ST, HANOVER, PA 17331-4406
(717) 812-5190
(717) 637-2245
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-5190
(717) 637-2245

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D0075023
MD
207Q00000X
Family Medicine Physician
Primary
MD461559
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
441195100
MD
Enumeration date
05/05/2009
Last updated
05/21/2020
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