Individual
DR. MAHENDRA GHANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5107 MEDICAL DR, SAN ANTONIO, TX 78229-4801
(210) 614-8612
Mailing address
5107 MEDICAL DR, SAN ANTONIO, TX 78229-4801
(210) 614-8612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49811
CT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
P9856
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2008
Last updated
02/26/2024
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