Individual
DR. VIJAYA KUMAR GORANTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3950 NEW COVINGTON PIKE STE 300, MEMPHIS, TN 38128-2593
(901) 382-5256
(901) 382-3731
Mailing address
3950 NEW COVINGTON PIKE STE 300, MEMPHIS, TN 38128-2593
(901) 382-5256
(901) 382-3731
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
59449
TN
Other
Enumeration date
04/04/2012
Last updated
10/21/2020
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