# SHASHI D GANTI MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801287420
- **Authorized official:** DR. SHASHI D GANTI MD (PRESIDENT/CEO)
- **Authorized official phone:** (559) 433-5459

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A38830 | CA | Yes |

## Other

- **Enumeration date:** 02/18/2015
- **Last updated:** 09/22/2024