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Contact Information

HIMABALA GHANTA
200 ENGLE ST STE 14
ENGLEWOOD, NJ07631-2417
 Phone: 201-567-7615
 Fax: 201-567-8033
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for HIMABALA GHANTA · (Female)

NPI Number 1356553168
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2007
Last updated 02/27/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA10009900
Hospital affiliation(s)
  • ELMHURST HOSPITAL CENTER - (Acute Care)
    79-01 BROADWAY
    ELMHURST, NY 11373
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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