Individual
RAVI K. GHANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-3417
Mailing address
1 BAYLOR PLZ # MC390, HOUSTON, TX 77030-3411
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
220508
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101252034
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
R0576
TX
Other
Enumeration date
11/01/2006
Last updated
03/09/2017
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