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Individual
DR. PRAMOD REDDY GANTA
Active
Individual
DR. PRAMOD REDDY GANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
19517
MS
207RH0003X
Hematology & Oncology Physician
Primary
35066
SC
208M00000X
Hospitalist Physician
19517
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07502764
—
MS
05
—
1124249
—
LA
01
—
7460782
AETNA
MS
01
—
P00417392
RAILROAD MEDICARE
MS
Enumeration date
06/22/2006
Last updated
08/16/2018
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