Individual
BHARGAVI GHANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 328-4973
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8516
SD
208M00000X
Hospitalist Physician
Primary
8516
SD
Other
Enumeration date
07/06/2009
Last updated
05/12/2015
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