Vedula, Geetha Ganti

Vedula, Geetha Ganti is an individual health care provider with primary practice located at 1776 N Pine Island Rd Ste 214 , Plantation FL 33322. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Vedula, Geetha Ganti can be contacted via phone (310) 206-1166.

Contact Information

Primary practice address
1776 N Pine Island Rd Ste 214 Plantation FL 33322
Phone: (310) 206-1166
Fax: (310) 301-8713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A108911 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME107675 Florida

Profile Details

NPI number 1700048501
LBN Legal business name Vedula, Geetha Ganti
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2008
Last updated Apr 14th, 2021 - about 5 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 1700048501 NPPES
Florida MEDICAID 003568900
Florida MEDICAID 00A1089110

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