Individual
SASI KRISHNA GHANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6950 E GOLF LINKS RD, TUCSON, AZ 85730-1017
(520) 670-3909
(520) 309-3278
Mailing address
525S WATSON RD 200, BUCKEYE, AZ 85326-3451
(623) 882-9161
(623) 925-0745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44088
AZ
Other
Enumeration date
05/13/2011
Last updated
07/14/2015
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