Provider Demographics
NPI:1194935155
Name:GHANTA, SUNITHA A (MD)
Entity type:Individual
Prefix:
First Name:SUNITHA
Middle Name:A
Last Name:GHANTA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:185 WHITESPORT DR SW STE 1
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6487
Mailing Address - Country:US
Mailing Address - Phone:256-213-1031
Mailing Address - Fax:800-765-1229
Practice Address - Street 1:185 WHITESPORT DR SW STE 1
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6487
Practice Address - Country:US
Practice Address - Phone:562-131-0312
Practice Address - Fax:007-651-2298
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2022-07-29
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Provider Licenses
StateLicense IDTaxonomies
ALMD.29797207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine