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Individual
DR. VICTOR ELIAS GHANTOUS
Active
Individual
DR. VICTOR ELIAS GHANTOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD068220L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175174602
AMERICHOICE
—
01
—
02334MD0682207L
HEALTH PARTNERS
PA
01
—
0332424000
KEYSTONE
PA
01
—
1099042
KEYSTONE MERCY
PA
01
—
390006246
RR MEDICARE
PA
01
—
529058
HIGHMARK BLUE SHIELD
PA
01
—
5333735
AETNA
PA
01
—
8672780
CIGNA
PA
Enumeration date
07/23/2006
Last updated
05/22/2008
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