GOWTHAM JONNA M.D. NPI 1245529767

NPI Information

NPI: 1245529767
Provider Name: GOWTHAM JONNA, M.D.
Classification: Ophthalmology - 207WX0107X
Entity Type: Individual

Specialization: Retina Specialist

Organization: RETINA CONSULTANTS OF AUSTIN PA

PECOS Registration: Yes

Address:
3705 MEDICAL PKWY STE 460
AUSTIN, TX
ZIP 78705
Phone: (512) 454-5851
Get Directions

Gowtham Jonna, M.D. is a retina specialist ophthalmology in Austin, TX with 13 years of experience. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. Gowtham Jonna, M.D. NPI is 1245529767. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3705 MEDICAL PKWY STE 460
AUSTIN, TX
ZIP 78705-024
Phone: (512) 454-5851
Fax: (512) 454-5853

The NPI 1245529767 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/5/2011 and was last updated on 6/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology		MD0000052519	TENNESSEE	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	207WX0107X	Ophthalmology	Retina Specialist	R1552	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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