Ganta, Pramod Reddy

Ganta, Pramod Reddy is an sole proprietor health care provider with primary practice located at 2508 N Main St Ste G , Anderson SC 29621. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Ganta, Pramod Reddy can be contacted via phone (864) 540-8430.

Contact Information

Primary practice address
2508 N Main St Ste G Anderson SC 29621
Phone: (864) 540-8430
Fax: (866) 421-1896
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 19517 Mississippi
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 19517 Mississippi
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35066 South Carolina

Profile Details

NPI number 1841236395
LBN Legal business name Ganta, Pramod Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Aug 16th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841236395 NPPES
Mississippi Other 7460782 AETNA
Mississippi MEDICAID 1124249 AETNA
Mississippi Other P00417392 AETNA
Mississippi MEDICAID 07502764 AETNA

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