Individual
DR. KALYAN CHOWDARY GORANTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
323 W TOURNAMENT TRL, WESTFIELD, IN 46074-6224
(317) 618-8440
(317) 618-8449
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01082863A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300031050
—
IN
Enumeration date
05/14/2012
Last updated
08/05/2026
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