Ganti, Suryaprakash

Ganti, Suryaprakash is an individual health care provider with primary practice located at 25B Vreeland Rd , Florham Park NJ 07932-1900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Ganti, Suryaprakash can be contacted via phone (973) 660-9334.

Contact Information

Primary practice address
25B Vreeland Rd Florham Park NJ 07932-1900
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X MA04289800 New Jersey
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MA04289800 New Jersey

Profile Details

NPI number 1740340355
LBN Legal business name Ganti, Suryaprakash
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jan 22nd, 2008 - about 16 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 1740340355 NPPES
New Jersey MEDICAID 2020904

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