Individual
DR. SARITHA GORANTLA
Active
Individual
DR. SARITHA GORANTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
04-37200
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719325
MEDICARE
—
05
—
201095270A
—
KS
Enumeration date
08/10/2012
Last updated
09/21/2018
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