Individual
DR. PRAMOD REDDY GANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2508 N MAIN ST STE G, ANDERSON, SC 29621
(864) 540-8430
(866) 421-1896
Mailing address
2508 N MAIN ST STE G, ANDERSON, SC 29621-3266
(864) 540-8430
(866) 421-1896
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
19517
MS
207RH0003X
Hematology & Oncology Physician
Primary
35066
SC
208M00000X
Hospitalist Physician
19517
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07502764
—
MS
05
—
1124249
—
LA
01
—
7460782
AETNA
MS
01
—
P00417392
RAILROAD MEDICARE
MS
Enumeration date
06/22/2006
Last updated
08/16/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us