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1265745400
KAVITHA GANTA
ALBUQUERQUE, NM
NPI
1265745400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: NM MD2015-0256)
Enumeration Date
2010-07-16
Last Update Date
2019-01-17
Business Address
KAVITHA GANTA M.D.
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
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Mailing Address
KAVITHA GANTA M.D.
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108-5153
Phone number: 505-265-1711
Copy
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