Individual
KALYAN GHANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HITCHCOCK WAY, DEPARTMENT OF CARDIOLOGY, MANCHESTER, NH 03104-4125
(603) 629-8288
(603) 640-1228
Mailing address
100 HITCHCOCK WAY, DEPARTMENT OF CARDIOLOGY, MANCHESTER, NH 03104-4125
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15024
NH
207RC0000X
Cardiovascular Disease Physician
Primary
15024
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084910000
—
MN
05
—
1018569
—
VT
05
—
3091028
—
NH
05
—
34888300
—
WI
Enumeration date
08/08/2006
Last updated
01/12/2026
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