Venkata Rao Ghanta M.D., M.S.

NPI 1760821714 - Internal Medicine - 207R00000X

NPI Details
NPI 1760821714
Gender Male
Enumeration Date 06/22/2013
Last Updated 06/25/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
700 E MARSHALL AVE
LONGVIEW TX, 75601-5580, US
Phone (903) 315-1488
Fax
Business Location
700 E MARSHALL AVE
LONGVIEW TX, 75601-5580, US
Phone (903) 315-1488
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Texas
License Number BP10046886
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According to our database, Dr. Venkata Rao Ghanta M.D., M.S. NPI is 1760821714, taxonomy code is 207R00000X and license number is BP10046886, license state is located at Texas. Venkata Rao Ghanta M.D., M.S. physically located at 700 E Marshall Ave, Longview TX, 75601-5580. NPI Number Venkata Rao Ghanta M.D., M.S. has the Individual type.

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1760821714 NPI number is provided on an as is basis without warranty of any kind. 1760821714 is maintained by the National Plan & Provider Enumeration System. The contents of Venkata Rao Ghanta M.D., M.S. are for informational purposes only.