Organization
BALVANT K GANATRA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NOLA MAXINE MASSEY (OFFICE MANAGER)
(810) 733-3570
Entity
Organization
Contact information
Practice address
5154 MILLER RD, SUITE A AND B, FLINT, MI 48507-1065
(810) 733-3570
(810) 733-0856
Mailing address
5154 MILLER RD, SUITE A AND B, FLINT, MI 48507-1065
(810) 733-3570
(810) 733-0856
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
BG040280
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1421393
—
MI
Enumeration date
05/06/2008
Last updated
05/06/2008
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