Search › Indiana › 207Q00000X
Ganapathi Gottumukkala, M.D
NPI 1780683953 · on the registry since 2005 · sole proprietor
Practice
- Address
- 9660 Wicker Ave
Saint John, IN 46373 - Phone
- (193) 651-1772
- Fax
- (219) 703-6662
- Organisation at this address
- 219 Health Network, Inc.
La Rabida Children'S Hospital
Munster Orthopaedic Institute, Llc
Munster Orthopaedic Institute, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Additional practice sites
- 15300 West Ave Ste 20, Orland Park, IL
- 6701 159th St, Tinley Park, IL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana