Ganta, Raghuvender

Ganta, Raghuvender is an individual health care provider with primary practice located at 14504 Maplelake Dr , Edmond OK 73013-1863. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ganta, Raghuvender can be contacted via phone (405) 748-6516.

Contact Information

Primary practice address
14504 Maplelake Dr Edmond OK 73013-1863
Fax: (405) 270-1546
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 17965 Oklahoma

Profile Details

NPI number 1770667305
LBN Legal business name Ganta, Raghuvender
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jul 8th, 2007 - about 17 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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