Provider Demographics
NPI:1508952243
Name:GOVINDARAJU, KALYANI P (MD)
Entity Type:Individual
Prefix:
First Name:KALYANI
Middle Name:P
Last Name:GOVINDARAJU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KALYANI
Other - Middle Name:P
Other - Last Name:ERANKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10 PROSPECT ST STE 201
Mailing Address - Street 2:NASHUA RHEUMATOLOGY
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3922
Mailing Address - Country:US
Mailing Address - Phone:603-883-0336
Mailing Address - Fax:
Practice Address - Street 1:10 PROSPECT ST STE 201
Practice Address - Street 2:NASHUA RHEUMATOLOGY
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3922
Practice Address - Country:US
Practice Address - Phone:603-883-0336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13622207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology