Individual
GOPI KRISHN GORANTLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6525 E 82ND ST STE 103, INDIANAPOLIS, IN 46250-1545
(317) 348-4949
(317) 537-2089
Mailing address
1653 NORDLAND DR, CARMEL, IN 46032-7190
(317) 513-2886
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009128A
IN
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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