Sowmya Goranta
Internal Medicine in Minneapolis, MN. Individual provider (NPI-1).
NPI number1982193249
StatusActive
Last updated in NPPESJan 26, 2023
Details
- NPI
- 1982193249
- Entity type
- Individual (NPI-1)
- Name
- Sowmya Goranta
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2018
- Certification date
- Jan 26, 2023
- Last updated
- Jan 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 72160 | MN | Yes |
| 207R00000X | Internal Medicine | 2021026662 | MO | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2925 Chicago AveMinneapolis, MN 55407-1321
Phone 612-863-3900
Mailing address
2 Hurley Plz Ste 212Flint, MI 48503-5905
Other practice locations
2 Hurley Plz Ste 212
Flint, MI 48503-5905
Flint, MI 48503-5905
Phone 734-674-5947
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