Ganti, Kennedy U
Ganti, Kennedy U is an individual health care provider with primary practice located at 651 John F Kennedy Way , Willingboro NJ 08046-1262. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Informatics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ganti, Kennedy U can be contacted via phone (609) 835-2838.Contact Information
Primary practice address
651 John F Kennedy Way
Willingboro NJ 08046-1262
Phone: (609) 835-2838
Fax: (609) 589-3841
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Informatics | 2083C0008X | 25MA08152400 | New Jersey |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA08152400 | New Jersey |
Profile Details
NPI number | 1235322165 |
---|---|
LBN Legal business name | Ganti, Kennedy U |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2007 |
Last updated | Apr 12th, 2024 - about 8 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235322165 | NPPES |
New Jersey | MEDICAID | 0146471 |
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