Provider Demographics
NPI:1770228181
Name:GANTI, NAGA RAMANI BHAVANI HARIKA
Entity type:Individual
Prefix:
First Name:NAGA RAMANI BHAVANI HARIKA
Middle Name:
Last Name:GANTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14206 HARPERS XING
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-4541
Mailing Address - Country:US
Mailing Address - Phone:954-383-5172
Mailing Address - Fax:
Practice Address - Street 1:830 5TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4224
Practice Address - Country:US
Practice Address - Phone:717-709-7970
Practice Address - Fax:717-709-7971
Is Sole Proprietor?:No
Enumeration Date:2022-04-29
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-488721207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine