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NPI Code Detail

MEDICARE: AKSHITA GORANTLA

MEDICARE: AKSHITA GORANTLA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1245198407
Entity Type Code : Individual
Provider Name (Legal Business Name) : AKSHITA GORANTLA
Provider Business Mailing Address
First Line : 13594 CAYUCOS LN
Second Line :
City : SAN DIEGO
State : CA
Zip : 92130-5803
Country : US
Telephone Number : 510-309-4835
Fax Number :
Provider Business Practice Location Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 888-584-7888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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