Most Relevant Information
Provider Data
| NPI Number: | 1003443615 |
| Provider Name: | SRIRAMAKRISHNA RAO KOGANTI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2020 |
| Last Updated: | 05/16/2022 |
Provider Practice Location
350 HOSPITAL DR
MACON
GA
312173838
Practice Location Phone/Fax
| Phone: | 4787510367 |
| Fax: |
Provider Mailing Location
380 HOSPITAL DR STE 430
MACON
GA
312178017
Provider Mailing Phone/Fax
| Phone: | 4787510367 |
| Fax: |