Individual
DR. VEDAVYAS GANNAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09969600
NJ
207R00000X
Internal Medicine Physician
MD461133
PA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
73972
MN
207RH0003X
Hematology & Oncology Physician
036.149888
IL
207RH0003X
Hematology & Oncology Physician
73972
MN
Other
Enumeration date
08/26/2013
Last updated
10/25/2023
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