Individual
DR. SHANTAVEER GANGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
848 ADAMS AVE, MEMPHIS, TN 38103-2816
(901) 287-7337
Mailing address
51 N DUNLAP ST, G145, MEMPHIS, TN 38105-4625
(901) 287-5594
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
54251
TN
Other
Enumeration date
05/08/2012
Last updated
08/03/2023
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