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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 07502764 | 05 | |
MS | AETNA | 7460782 | 01 |
LA | 1124249 | 05 | |
MS | RAILROAD MEDICARE | P00417392 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1403 E Greenville St, E, Anderson, SC 296212049 | 8645408430 | 8664211896 |
Street Address |
2508 N MAIN ST STE G |
City | ANDERSON |
State | SC |
Zip Code | 29621 |
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 |
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 Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
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 |
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 |
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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.