KRISHNA GANNAMANENI


Address: 3930 Mezzanine Dr, Suite D, Lafayette, IN 47905-8646
Phone: 7658072787

KRISHNA GANNAMANENI (NPI# 1235107673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235107673
Entity Type Individual
Full Name KRISHNA GANNAMANENI
Credential MD
Practice Address 3930 Mezzanine Dr
Suite D
Lafayette
IN 47905-8646
Mailing Address Po Box 4699
Lafayette
IN 47903-4699
Practice Telephone 7658072787
Practice Fax Number 7658072786
Mailing Telephone 7654492732
Mailing Fax Number 7654491196
Enumeration Date 2006-03-10
Last Update Date 2015-03-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
01059023A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200486540A 05

Office Location

Street Address 3930 MEZZANINE DR
SUITE D
City LAFAYETTE
State IN
Zip Code 47905-8646

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528430246 Unity Healthcare, LLC Internal Medicine 3930 Mezzanine Dr, Suite D, Lafayette, IN 47905-8646 2015-10-21
1265773402 Unity Healthcare, LLC Internal Medicine 3930 Mezzanine Dr, Suite D, Lafayette, IN 47905-8646 2013-03-13
1134311632 Lafayette Family Footcare PC Podiatrist 3930 Mezzanine Dr, Suite B, Lafayette, IN 47905-8646 2007-08-17
1508851080 Lawrence Vincent Conway Podiatrist 3930 Mezzanine Dr, Suite B, Lafayette, IN 47905-8646 2005-09-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538719893 Elements Counseling LLC Social Worker 115 N. Farabee Drive, Lafayette, IN 47905 2019-09-18
1134596869 Indiana Dental Sleep Therapy LLC Dentist 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 2015-08-28
1255750899 Emily S Miller Physical Therapist 1701 Creasy Ln, Lafayette, IN 47905 2014-04-10
1073876215 Nathan Webster Dentist 1530 Kossuth St., Lafayette, IN 47905 2012-06-22
1578848370 Mark Jin Kim Pharmacist 1801 South St., Lafayette, IN 47905 2011-10-13
1700177185 Shannon Tawn Harris Speech-Language Pathologist 8900 Cobbler Lane, Lafayette, IN 47905 2011-04-20
1508164484 David Thomas Beine Specialist/Technologist 1321 Unity Pl Ste A, Lafayette, IN 47905 2011-03-02
1447569538 Deidre Dudley Nurse Practitioner 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 2010-10-07
1548493067 Unity Healthcare, LLC Podiatrist 750 Park East Blvd, Unit 4, Lafayette, IN 47905 2009-09-01
1073762969 Lynette Marie Alexander Nurse Practitioner 5500 St Rd. 38 East, Lafayette, IN 47905 2008-09-16
Find all providers in zip 47905

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992113245 Unity Healthcare, LLC Internal Medicine 1345 Unity Pl Ste 110, Lafayette, IN 47905-5768 2014-07-31
1437416617 Jacob Lee Breaux Internal Medicine 1211 Coolidge Blvd Ste 303, Lafayette, LA 70503 2012-04-12
1922269281 Melanie Montgomery Bienvenu Internal Medicine 408 Shelly Dr, Lafayette, LA 70503-4438 2008-06-19
1801901335 Patrick Antoine Laperouse Internal Medicine 439 Heymann Blvd, Lafayette, LA 70503-2616 2006-08-21
1497869929 Ravish J Mahajan Internal Medicine 5 Executive Dr, Suite B1, Lafayette, IN 47905-4867 2006-08-19
1245261049 Eugene T Stueben Internal Medicine 601 W St Mary Blvd, Suite 310, Lafayette, LA 70506 2006-07-06
1447249800 Jatinder P Ahluwalia Internal Medicine 1101 S College Rd, Lafayette, LA 70503-3038 2005-10-18
1922007996 Rama Marepally Internal Medicine 2600 Greenbush St, Lafayette, IN 47904-2477 2005-07-20
1881191393 Jacob L Breaux, Md, LLC Internal Medicine 1211 Coolidge Blvd Ste 303, Lafayette, LA 70503-2636 2018-04-11
1528430246 Unity Healthcare, LLC Internal Medicine 3930 Mezzanine Dr, Suite D, Lafayette, IN 47905-8646 2015-10-21
Find all providers in LAFAYETTE

Competitor

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City LAFAYETTE
Zip Code 47905

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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