Ganti, Sudha R

Ganti, Sudha R is an individual health care provider with primary practice located at 985 State Road 436 , Casselberry FL 32707-5664. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ganti, Sudha R can be contacted via phone (407) 831-5252.

Contact Information

Primary practice address
985 State Road 436 Casselberry FL 32707-5664
Phone: (407) 831-5252
Fax: (407) 831-3765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 182835 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME77895 Florida

Profile Details

NPI number 1093715989
LBN Legal business name Ganti, Sudha R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 21st, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093715989 NPPES
Florida Other ME77895 LICENSE
Florida MEDICAID 01270942 LICENSE

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