Individual
NIHARIKA GANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, WHITE 2ND, PHILADELPHIA, PA 19104-4238
(215) 605-9286
Mailing address
3400 SPRUCE ST, WHITE 2ND, PHILADELPHIA, PA 19104-4238
(215) 605-9286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD455044
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD455044
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD455044
PA
Other
Enumeration date
03/30/2010
Last updated
03/21/2019
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