SRINIVAS GATLA

Dr SRINIVAS GATLA is a male medical professional, specializing in Internal Medicine. He graduated in 1991.

Contact

7445 ALLEN RD
SUITE 200
ALLEN PARK
MI
481011964

Tel:

SRINIVAS GATLA Information

Npi 1679885388
Pac Id 3173749553
Professional Enrollment Id I20140721000541
Last Name GATLA
First Name SRINIVAS
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1991
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 7445 ALLEN RD
Line 2 Street Address SUITE 200
Marker Of Address Line 2 Suppression
City ALLEN PARK
State MI
Zip Code 481011964
Phone Number
Hospital Affiliation Ccn 1 230020
Hospital Affiliation Lbn 1 BEAUMONT HOSPITAL - DEARBORN
Hospital Affiliation Ccn 2 230146
Hospital Affiliation Lbn 2 HENRY FORD WYANDOTTE HOSPITAL
Hospital Affiliation Ccn 3 230077
Hospital Affiliation Lbn 3 ST MARY'S OF MICHIGAN MEDICAL CENTER
Hospital Affiliation Ccn 4 230270
Hospital Affiliation Lbn 4 BEAUMONT HOSPITAL - TAYLOR
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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