Ghanta, Suma Bala
Ghanta, Suma Bala is an individual health care provider with primary practice located at 183 Route 206 , Flanders NJ 07836-9050. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Ghanta, Suma Bala can be contacted via phone (973) 347-3277.Contact Information
Primary practice address
183 Route 206
Flanders NJ 07836-9050
Phone: (973) 347-3277
Fax: (973) 347-3141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 25MA07257600 | New Jersey |
Profile Details
| NPI number | 1609818756 |
|---|---|
| LBN Legal business name | Ghanta, Suma Bala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Mar 22nd, 2010 - about 16 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 | 1609818756 | NPPES |
| New Jersey | MEDICAID | 8825106 |
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