Individual
DR. VENKATA R GHANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-8556
Mailing address
1600 EAST BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
(573) 815-8556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018000532
MO
207R00000X
Internal Medicine Physician
Q8891
TX
208M00000X
Hospitalist Physician
Primary
2018000532
MO
Other
Enumeration date
06/22/2013
Last updated
03/18/2021
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