Gorantla Govindaiah, MD, SC
Gorantla Govindaiah, MD, SC is a Health Service Clinic/Center in East Moline, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
4366 Kennedy Dr Ste BEast Moline, IL 61244-4288
Phone: (309) 796-1510
Fax: (309) 796-1565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X |
|---|
Record details
| NPI number | 1023222502 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gorantla Govindaiah — Owner · (309) 796-1510 |
| NPI enumerated | May 10, 2007 |
| Last updated in NPPES | May 15, 2008 |
| Mailing address | 4366 Kennedy Dr, Suite B, East Moline, IL 61244-4288 |