Individual
DR. CHITRA CLIVE GANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1740 CLEVELAND RD, WO10, WOOSTER, OH 44691-2204
(330) 287-4896
Mailing address
1740 CLEVELAND RD, WO10, WOOSTER, OH 44691-2204
(330) 287-4896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.121034
OH
Other
Enumeration date
08/17/2010
Last updated
06/26/2013
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