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Individual

RAVI KIRAN GHANTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
9330 PARK WEST BLVD STE 302, KNOXVILLE, TN 37923-4311
(865) 373-7975
Mailing address
9330 PARK WEST BLVD STE 508, KNOXVILLE, TN 37923-4313
(865) 373-7975
(865) 373-9008

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD49597
TN
390200000X
Student in an Organized Health Care Education/Training Program
ME98143
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000309400
FL
Enumeration date
06/25/2007
Last updated
05/24/2022
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