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Contact Information

PRAMOD R GANTA, MD
2508 N MAIN ST STE G
ANDERSON, SC29621
 Phone: 864-540-8430
 Fax: 866-421-1896
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for PRAMOD R GANTA · (Male)

NPI # 1841236395
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2006
Last updated 08/16/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 19517
  • SC License # 35066
  • LA Medicaid 1124249
  • MS Medicaid 07502764
  • MS Other 7460782 AETNA
  • MS Other P00417392 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
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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