Venkatesan R Gorantla
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Venkatesan R Gorantla, M.D. is a Jacksonville, Florida based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Venkatesan R Gorantla is
655 W 8th St Fl Cc6, Jacksonville, Florida - 32209-6511. He can be contacted on phone at
513-310-2392.
Venkatesan R Gorantla is a sole proprietor of his business.
NPI number (Unique professional ID) for Venkatesan R Gorantla is
1659302891 which was assigned by NPPES on 05 Jul, 2006 and it was last updated on 12 Jan, 2023.
Venkatesan R Gorantla license number is
ME102628 for Pediatrics, Neonatal-Perinatal Medicine (2080N0001X) in Florida.
Venkatesan R Gorantla is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Venkatesan R Gorantla basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Neonatal-Perinatal Medicine |
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| Provider Name : | Venkatesan R Gorantla |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Venkatesan R Gorantla address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 655 W 8th St Fl Cc6
Jacksonville, FL, 32209-6511
United States |
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| Phone Number : | 513-310-2392 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1659302891 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Jul, 2006 |
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| Last Updated On : | 12 Jan, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Venkatesan R Gorantla are as mentioned. Primary taxonomy code for Venkatesan R Gorantla, M.D. is
2080N0001X (Pediatrics, Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | Yes | ME102628 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Venkatesan R Gorantla such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000593692 | Other (non-Medicare) | IN | ANTHEM PROVIDER NUMBER |
| 200523260 | MEDICAID | IN | |
| 815500Q3 | MEDICARE PIN | IN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 655 W 8th St Fl Cc6
Jacksonville, FL, 32209-6511
United States |
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| Phone Number : | 513-310-2392 |
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Business Location:
Patients can refer following map for directions to
Venkatesan R Gorantla practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.