Provider Demographics
NPI:1861780629
Name:GANTI, NIHARIKA (MD)
Entity type:Individual
Prefix:
First Name:NIHARIKA
Middle Name:
Last Name:GANTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13300 HARGROVE ROAD
Mailing Address - Street 2:SUITE 505
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070
Mailing Address - Country:US
Mailing Address - Phone:281-737-0810
Mailing Address - Fax:281-737-7083
Practice Address - Street 1:13300 HARGROVE ROAD
Practice Address - Street 2:SUITE 505
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070
Practice Address - Country:US
Practice Address - Phone:281-737-0810
Practice Address - Fax:281-477-7083
Is Sole Proprietor?:No
Enumeration Date:2011-07-14
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10049239207RR0500X
TXR2592207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology