Provider Demographics
NPI:1982860631
Name:GURNANI, PREETI K (MD)
Entity Type:Individual
Prefix:DR
First Name:PREETI
Middle Name:K
Last Name:GURNANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:801 MACARTHUR BLVD
Mailing Address - Street 2:SUITE 400A
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-2915
Mailing Address - Country:US
Mailing Address - Phone:219-931-5227
Mailing Address - Fax:219-932-8455
Practice Address - Street 1:9229 TAFT ST
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6911
Practice Address - Country:US
Practice Address - Phone:219-769-5227
Practice Address - Fax:219-932-8455
Is Sole Proprietor?:No
Enumeration Date:2008-08-01
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125-054502207R00000X, 208000000X
IN01074365207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology