Ganta, Pramod Reddy
Ganta, Pramod Reddy is an sole proprietor health care provider with primary practice located at 2508 N Main St Ste G , Anderson SC 29621. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Ganta, Pramod Reddy can be contacted via phone (864) 540-8430.Contact Information
Primary practice address
2508 N Main St Ste G
Anderson SC 29621
Phone: (864) 540-8430
Fax: (866) 421-1896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 19517 | Mississippi |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 19517 | Mississippi |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 35066 | South Carolina |
Profile Details
| NPI number | 1841236395 |
|---|---|
| LBN Legal business name | Ganta, Pramod Reddy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Aug 16th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841236395 | NPPES |
| Mississippi | Other | 7460782 | AETNA |
| Mississippi | MEDICAID | 1124249 | AETNA |
| Mississippi | Other | P00417392 | AETNA |
| Mississippi | MEDICAID | 07502764 | AETNA |
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