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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235322165 NPPES
New Jersey MEDICAID 0146471

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