Shylesh Ganta ,Md , Pa

LBN: Shylesh Ganta ,Md , Pa
Shylesh Ganta ,Md , Pa is an health care organization with primary practice located at 3401 Greenbriar Ste 100 , Midland TX 79707-4607. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Shylesh Ganta ,Md , Pa can be contacted via phone (432) 683-6558, or through Ganta, Shylesh via phone (432) 770-8286.

Contact Information

Primary practice address
3401 Greenbriar Ste 100 Midland TX 79707-4607
Phone: (432) 683-6558
Fax: (432) 682-5104
Website:
Map and Directions
Authorized official contact:
Name: Ganta, Shylesh Doctor of Medicine (MD)
Phone: (432) 770-8286

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K9066 Texas

Profile Details

NPI number 1124217310
LBN Legal business name Shylesh Ganta ,Md , Pa
DBA Doing business as
Authorized official Ganta, Shylesh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2007
Last updated Jul 1st, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124217310 NPPES
Texas MEDICAID 192864001

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