Individual
DR. SHASHI D GANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
557 W MORTON AVE, SUITE # 3, PORTERVILLE, CA 93257-3383
(559) 783-2700
(559) 783-8020
Mailing address
557 W MORTON AVE, SUITE D, PORTERVILLE, CA 93257-3383
(559) 783-2700
(559) 783-8020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A38830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A388301
—
CA
Enumeration date
07/19/2006
Last updated
09/10/2015
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