Individual
DR. VICTOR ELIAS GHANTOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
735 FITZWATERTOWN RD, WILLOW GROVE, PA 19090-1332
(215) 657-2012
(215) 657-2018
Mailing address
735 FITZWATERTOWN RD, WILLOW GROVE, PA 19090-1332
(215) 657-2012
(215) 657-2018
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD068220L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175174602
AMERICHOICE
—
01
—
02334MD0682207L
HEALTH PARTNERS
PA
01
—
0332424000
KEYSTONE
PA
01
—
1099042
KEYSTONE MERCY
PA
01
—
390006246
RR MEDICARE
PA
01
—
529058
HIGHMARK BLUE SHIELD
PA
01
—
5333735
AETNA
PA
01
—
8672780
CIGNA
PA
Enumeration date
07/23/2006
Last updated
05/22/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us