Individual
S RAMAIAH GANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD HOSPITAL & MEDICAL CENTER, ENGLEWOOD, NJ 07631
(201) 894-3400
(201) 894-5244
Mailing address
350 ENGLE ST, ENGLEWOOD, NJ 07631
(201) 894-3400
(201) 894-5244
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA26700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6814301
—
NJ
Enumeration date
04/14/2006
Last updated
08/11/2010
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