| Dr Kalyan Chowdary Gorantla, MD | |
|
1704 Lafayette Rd Ste 5, Crawfordsville, IN 47933-1071 | |
| (765) 361-3011 | |
| (765) 362-5540 |
| Full Name | Dr Kalyan Chowdary Gorantla |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 13 Years |
| Location | 1704 Lafayette Rd Ste 5, Crawfordsville, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679832463 | NPI | - | NPPES |
| 300031050 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 01082863A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Crawfordsville | Crawfordsville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Physician Network | 3072790682 | 1041 |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kalyan Chowdary Gorantla, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Kalyan Chowdary Gorantla, MD 1704 Lafayette Rd Ste 5, Crawfordsville, IN 47933-1071 Ph: (765) 361-3011 |
Dr. Rami Saydjari, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1630 Lafayette Rd, Suite 300, Crawfordsville, IN 47933 Phone: 765-361-1234 Fax: 765-361-2267 | |
Dr. Scott Edward Mimms, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1704 Lafayette Rd Ste 5, Crawfordsville, IN 47933 Phone: 765-361-3011 Fax: 765-362-5540 | |
Dan L Stewart, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1630 Lafayette Rd, Suite 300, Crawfordsville, IN 47933 Phone: 765-361-1234 Fax: 765-361-2267 | |
Kevin Bree, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1704 Lafayette Rd Ste 5, Crawfordsville, IN 47933 Phone: 765-361-3011 Fax: 765-362-5540 |