DR. PRAMOD REDDY GANTA


Address: 2508 N Main St Ste G, Anderson, SC 29621
Phone: 8645408430

DR. PRAMOD REDDY GANTA (NPI# 1841236395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841236395
Entity Type Individual
Full Name DR. PRAMOD REDDY GANTA
Credential MD
Practice Address 2508 N Main St Ste G
Anderson
SC 29621
Mailing Address 2508 N Main St Ste G
Anderson
SC 29621-3266
Practice Telephone 8645408430
Practice Fax Number 8664211896
Mailing Telephone 8645408430
Mailing Fax Number 8664211896
Enumeration Date 2006-06-22
Last Update Date 2018-08-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist 19517 MS Other Service Providers
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
35066 SC Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 19517 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 07502764 05
MS AETNA 7460782 01
LA 1124249 05
MS RAILROAD MEDICARE P00417392 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1403 E Greenville St, E, Anderson, SC 296212049 8645408430 8664211896

Office Location

Street Address 2508 N MAIN ST STE G
City ANDERSON
State SC
Zip Code 29621

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447883988 Siri Comprehensive Health and Quick Care Internal Medicine 2508 N Main St Ste G, Anderson, SC 29621-3266 2020-02-12
1164897963 Siri Cancer, Blood and Infusion Center Internal Medicine 2508 N Main St Ste G, Anderson, SC 29621 2015-12-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114574241 Kathryn L Harwick Social Worker 3030 Sc-81, Anderson, SC 29621 2019-08-22
1326517194 Ashlea Bronwen Bates Nurse Practitioner 3424 Clemson Blvd., Anderson, SC 29621 2018-11-21
1770051708 Bailee Vernon Mccarley Nurse Practitioner 800 Fant St, Anderson, SC 29621 2018-11-07
1790278893 Morgan Cutts Speech-Language Pathologist 126 Broadbent Way, Suite A, Anderson, SC 29621 2018-06-13
1427546233 Amanda Coker Burnette Family Medicine 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 2018-04-26
1205342169 Robert Allen Dameron Jr. Orthopaedic Surgery 130 Longview Drive, Anderson, SC 29621 2017-12-14
1578085411 Michael Jason Bell Contractor 520 Hwy 29 Bypass N, Anderson, SC 29621 2017-07-12
1639629983 Todd E. Hamilton Dentist 1112 Cornelia Road, Anderson, SC 29621 2016-10-11
1760939110 Crystal Vaughn Nurse Practitioner Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 2016-09-01
1992151328 Veronica Williams Non-emergency Medical Transport (VAN) 2314 Old Williamston Road, Anderson, SC 29621 2016-05-04
Find all providers in zip 29621

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770692568 Brian L Eddy Internal Medicine 1629 Medical Arts Blvd Ste 120, Anderson, IN 46011-3454 2006-08-29
1215905773 Hazim Rimawi Internal Medicine 2020 Meridian St Ste 110, Anderson, IN 46016 2006-03-10
1164897963 Siri Cancer, Blood and Infusion Center Internal Medicine 2508 N Main St Ste G, Anderson, SC 29621 2015-12-04
1881093433 Anmed Health Internal Medicine 2000 E Greenville St, Cancer Center 3rd Floor, Anderson, SC 29621-1580 2014-08-20
1427275437 Jay B Nayak Internal Medicine 2000 E Greenville St, Cancer Center 3rd Floor, Anderson, SC 29621-1580 2007-04-19
1295776383 Jeffrey S Delo Internal Medicine 2000 E Greenville St, Cancer Center 3rd Floor, Anderson, SC 29621-1580 2006-06-09
1730136953 Tahir Ali Naqvi Internal Medicine 1340 N Madison Ave, Anderson, IN 46011-1216 2006-05-31
1316914161 Anderson Oncology-hematology Clinic Pa Internal Medicine 2000 E Greenville St, Ste 5000, Anderson, SC 29621-1580 2006-03-01
1467428607 Szabolcs Batizy Internal Medicine 2000 E Greenville St, Ste 5000, Anderson, SC 29621-1580 2006-02-27
1982670147 John Doster Internal Medicine 2000 E Greenville St, Ste 5000, Anderson, SC 29621-1580 2006-02-27
Find all providers in ANDERSON

Competitor

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City ANDERSON
Zip Code 29621

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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