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Individual

DR. GHANSHYAM HIMMATBHAI GHELANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
721 CLINIC DR, TYLER, TX 75701-2043
(903) 592-0629
Mailing address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT203125
PA
207RH0003X
Hematology & Oncology Physician
Primary
U9533
TX

Other

Enumeration date
07/08/2013
Last updated
06/24/2024
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