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1265071005
SRUJAN GANTA
SAN DIEGO, CA
NPI
1265071005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: CA A166273)
Enumeration Date
2019-12-26
Last Update Date
2020-02-19
Business Address
SRUJAN GANTA MD
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 858-966-8030
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Mailing Address
SRUJAN GANTA MD
3020 CHILDRENS WAY # MC5003
SAN DIEGO, CA 92123-4223
Phone number: 858-309-6300
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