Organization
SHASHI D GANTI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHASHI D GANTI MD (PRESIDENT/CEO)
(559) 433-5459
Entity
Organization
Contact information
Practice address
2147 MOWRY AVE STE D1, FREMONT, CA 94538-1724
(510) 556-2153
(510) 556-2155
Mailing address
2147 MOWRY AVE STE D1, FREMONT, CA 94538-1724
(510) 556-2153
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A38830
CA
Other
Enumeration date
02/18/2015
Last updated
09/22/2024
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