Dr. Avani Ganta, MBBS
Pediatrics, Pediatric Endocrinology in Springfield, Illinois
1538689054- Practice location
- 400 N 9TH St Fl 4, Springfield, IL 62702-5310
- Phone
- 217-545-8000
- Fax
- —
- Last updated
- June 13, 2023
Avani Ganta is a Pediatrics, Pediatric Endocrinology based in Springfield, IL. Avani Ganta practices in Springfield, IL and has the professional credentials of MBBS. The NPI Number for Avani Ganta is 1538689054 and holds a License No. LP04881 (RI). The current practice location address for Avani Ganta is 400 N 9TH St Fl 4, Springfield, IL 62702-5310 and can be reached out via phone at 217-545-8000.
Provider Profile Details
- NPI Number
- 1538689054
- Provider Name
- Avani Ganta
- Credential
- MBBS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 400 N 9TH St Fl 4, Springfield, IL 62702-5310
- Phone Number
- 217-545-8000
- Primary Taxonomy
- Pediatrics, Pediatric Endocrinology · 2080P0205X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 26, 2017
- Last Update Date
- June 13, 2023
- Certification Date
- June 13, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 N 9TH St Fl 4
Springfield, IL 62702-5310 - City
- Springfield
- State
- Illinois
- Zip
- 62702-5310
- Phone Number
- 217-545-8000
Provider Business Mailing Address Details
- Address
- 201 E Madison St Ste 328
Springfield, IL 62702-5131 - City
- Springfield
- State
- IL
- Zip
- 62702-5131
- Phone Number
- 217-545-8000
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- LP04881
- License State (2)
- RI
- Taxonomy (2)
- Pediatrics, Pediatric Endocrinology · 2080P0205X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Avani Ganta, MBBS?
The NPI number of Dr. Avani Ganta, MBBS is 1538689054. It was assigned on June 26, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Avani Ganta, MBBS?
Dr. Avani Ganta, MBBS is registered under the primary taxonomy Pediatrics, Pediatric Endocrinology (code 2080P0205X), licensed in RI under license number LP04881.
Where does Dr. Avani Ganta, MBBS practice?
The practice location is 400 N 9TH St Fl 4, Springfield, IL 62702-5310. The office can be reached at 217-545-8000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538689054 directly on the NPPES registry website.