Individual
RAGHUVENDER GANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14504 MAPLELAKE DR, EDMOND, OK 73013-1863
(405) 748-6516
(405) 270-1546
Mailing address
14504 MAPLELAKE DR, EDMOND, OK 73013-1863
(405) 748-6516
(405) 270-1546
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17965
OK
Other
Enumeration date
10/24/2006
Last updated
03/21/2025
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