DR. KALYAN CHOWDARY GORANTLA


Address: 8402 Harcourt Rd Ste 815, Indianapolis, IN 46260-2057
Phone: 3178721158

DR. KALYAN CHOWDARY GORANTLA (NPI# 1679832463) 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) 1679832463
Entity Type Individual
Full Name DR. KALYAN CHOWDARY GORANTLA
Credential M.D.
Practice Address 8402 Harcourt Rd Ste 815
Indianapolis
IN 46260-2057
Practice Telephone 3178721158
Mailing Telephone 3178721158
Enumeration Date 2012-05-14
Last Update Date 2019-10-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 01082863A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 300031050 05

Office Location

Street Address 8402 HARCOURT RD STE 815
City INDIANAPOLIS
State IN
Zip Code 46260-2057

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NPI Name Taxonomy Address Enumeration
1508478298 Verity Smile Studio, LLC Clinic/Center 1619 W. 86th St Suite B, Indianapolis, IN 46260 2020-08-23
1225666589 Alexander Michael Kiel Student in an Organized Health Care Education/Training Program Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 2020-03-31
1043793151 Lisa R Foreman Registered Nurse 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 2018-09-13
1790268399 Esther Muturi Chore Provider 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 2018-09-10
1912483215 Katherine Donnelly Community Health Worker 1612 Lancashire Ct, Indianapolis, IN 46260 2018-07-19
1326539628 Peaceful Source Midwifery LLC Advanced Practice Midwife 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 2018-05-22
1144722695 Mindful Services Center LLC Clinic/Center 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 2018-03-01
1144731910 Meenu Jain Student in an Organized Health Care Education/Training Program Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 2017-10-19
1609392422 1717 Senior Living, LLC Assisted Living Facility 1703 West 86th Street, Indianapolis, IN 46260 2017-08-15
1093246985 Royalty Transports LLC Bus 2255 W. 67th St., Indianapolis, IN 46260 2017-03-23
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972162246 Christopher Anthony Lawton Surgery 635 Barnhill Dr Ste 116, Indianapolis, IN 46202-5126 2019-06-11
1013436922 Stephen Neil Quigley Surgery 550 University Blvd # Uh1295, Indianapolis, IN 46202-5149 2017-09-12
1881120434 Henry Lee Roberts Surgery 545 Barnhill Dr # 125, Indianapolis, IN 46202 2017-05-02
1407293566 Harry Dwight Brickley Jr. Surgery 1037 Tuckahoe, Indianapolis, IN 46260 2013-05-30
1992044572 John Duncan Macdougall Surgery 7202 Dean Rd, Indianapolis, IN 46240-3628 2013-02-02
1548524176 Jeffrey Lastfogel Surgery 350 N Meridian St Unit 807, Indianapolis, IN 46204-1773 2012-06-28
1003178898 Kyle Norris Seudeal Surgery 5255 E Stop 11 Rd Ste 450, Indianapolis, IN 46237 2012-06-08
1124306824 Amanda Rae Stram Surgery 1426 E Vermont St, Indianapolis, IN 46201-3045 2011-07-28
1790071280 Sanjay Mohanty Surgery 550 University Blvd Ste 1295, Indianapolis, IN 46202-5149 2011-06-22
1417248477 Myungwon Christine Chang Surgery 7250 Clearvista Dr Ste 100, Indianapolis, IN 46256 2011-04-26
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City INDIANAPOLIS
Zip Code 46260

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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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