KRISHNA M GANTI MD PA NPI 1952547507

NPI Information

  • NPI: 1952547507
  • Provider Name: KRISHNA M GANTI MD PA
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Organization
  • Address: 11373 CORTEZ BLVD
    SUITE 203
    BROOKSVILLE, FL
    ZIP 34613
  • Phone: (352) 596-6158

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NPI Details

KRISHNA M GANTI MD PA is an otolaryngology in Brooksville, FL. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. KRISHNA M GANTI MD PA NPI is 1952547507. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11373 CORTEZ BLVD
SUITE 203
BROOKSVILLE, FL
ZIP 34613-414
Phone: (352) 596-6158
Fax: (352) 596-6186

The provider's authorized official is Krishna M Ganti .
The authorized official title is Initial Officer And/or Director and has the following contact phone number (352) 596-6158.

The enumeration date for this NPI number is 1/5/2009 and was last updated on 7/29/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngologyME48997FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11952547507OTHERFLORIDAMEDICARE GROUP NPI
2D50499MEDICARE UPINFLORIDA
357664600MEDICAIDFLORIDA
409499OTHERFLORIDAWELLCARE
5BJ359OTHERFLORIDAMEDICARE GROUP PTAN
602407OTHERFLORIDABLUE CROSS FLORIDA
702407YOTHERFLORIDAMEDICARE INDIVIDUAL PTAN
840001752OTHERFLORIDARAILROAD MEDICARE
91063413128OTHERFLORIDAMEDICARE INDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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