Individual
DR. KARTHEEK GANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
988 OAK RIDGE TPKE STE 350, OAK RIDGE, TN 37830-6964
(865) 481-0333
(865) 374-2111
Mailing address
988 OAK RIDGE TPKE STE 350, OAK RIDGE, TN 37830-6964
(865) 481-0333
(865) 374-2111
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
51278
TN
2084N0600X
Clinical Neurophysiology Physician
51278
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q028102
—
TN
Enumeration date
04/06/2009
Last updated
06/17/2019
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