Individual
DR. KALYAN CHOWDARY GORANTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1704 LAFAYETTE RD STE 5, CRAWFORDSVILLE, IN 47933-1071
(765) 361-3011
(765) 362-5540
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
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
02/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us