Individual
DEEPA J GHANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47710-1674
(812) 450-7338
(812) 450-2193
Mailing address
PO BOX 3407, EVANSVILLE, IN 47733-3407
(812) 450-7338
(812) 450-2193
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
01066897A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200955880
—
IN
Enumeration date
05/24/2007
Last updated
09/07/2016
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