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Organization

SHASHI D GANTI MD PC

Active
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Organization

SHASHI D GANTI MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHASHI D GANTI MD (PRESIDENT/CEO)
(559) 433-5459
Entity
Organization

Contact information

Practice address
2147 MOWRY AVE STE D1, FREMONT, CA 94538-1724
(510) 556-2153
(510) 556-2155
Mailing address
2147 MOWRY AVE STE D1, FREMONT, CA 94538-1724
(510) 556-2153

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A38830
CA

Other

Enumeration date
02/18/2015
Last updated
09/22/2024
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