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Organization

SASHIDHAR V. GANTA MD PA

Active
Other names
NuSelf Bariatrics, Austin Institute of Bariatrics and Laparoscopy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SASHIDHAR V. GANTA M.D. (OWNER/PRESIDENT)
(512) 244-6452
Entity
Organization

Contact information

Practice address
11851 JOLLYVILLE RD STE 104, AUSTIN, TX 78759-2350
(512) 257-2425
(512) 257-2426
Mailing address
PO BOX 200185, AUSTIN, TX 78720-0185
(512) 244-6452
(512) 244-6582

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M2325
TX

Other

Enumeration date
03/14/2006
Last updated
12/17/2025
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