| Pundari C Ganti M D Inc | |
|
19582 Beach Blvd Ste. # 102 Huntington Beach CA 92648-2996 | |
| (714) 843-6789 | |
| (714) 843-6799 |
| Full Name | Pundari C Ganti M D Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 19582 Beach Blvd, Huntington Beach, California |
| Authorized Official Name and Position | Pundari K Chemitiganti (PRESIDENT) |
| Authorized Official Contact | 7148436789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pundari C Ganti M D Inc 6621 Polo Cir Huntington Beach CA 92648-1544 Ph: (714) 843-6789 | Pundari C Ganti M D Inc 19582 Beach Blvd Ste. # 102 Huntington Beach CA 92648-2996 Ph: (714) 843-6789 |
| NPI Number | 1063644532 |
|---|---|
| Provider Enumeration Date | 08/18/2009 |
| Last Update Date | 08/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063644532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A40967 (California) | Primary |
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