Individual
DR. GOURISHANKAR NAGANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
686 POOLE RD STE A, WESTMINSTER, MD 21157-6177
(443) 289-8286
Mailing address
686 POOLE RD STE A, WESTMINSTER, MD 21157-6177
(443) 289-8286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0059552
MD
Other
Enumeration date
07/21/2006
Last updated
06/25/2014
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