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Individual
SUDHA R GANTI
Active
Individual
SUDHA R GANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
182835
NY
207R00000X
Internal Medicine Physician
Primary
ME77895
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022883800
—
FL
01
—
ME77895
LICENSE
FL
Enumeration date
07/21/2005
Last updated
02/03/2025
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