Ghanta, Suma Bala

Ghanta, Suma Bala is an individual health care provider with primary practice located at 183 Route 206 , Flanders NJ 07836-9050. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Ghanta, Suma Bala can be contacted via phone (973) 347-3277.

Contact Information

Primary practice address
183 Route 206 Flanders NJ 07836-9050
Fax: (973) 347-3141
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25MA07257600 New Jersey

Profile Details

NPI number 1609818756
LBN Legal business name Ghanta, Suma Bala
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 22nd, 2010 - about 15 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 1609818756 NPPES
New Jersey MEDICAID 8825106

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