MEDICARE: SIRI COMPREHENSIVE HEALTH AND QUICK CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1447883988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIRI COMPREHENSIVE HEALTH AND QUICK CARE

Provider Business Mailing Address
First Line	:	2508 N MAIN ST STE G
Second Line	:
City	:	ANDERSON
State	:	SC
Zip	:	29621-3266
Country	:	US
Telephone Number	:	864-540-8432
Fax Number	:

Provider Business Practice Location Address
First Line	:	2508 N MAIN ST STE G
Second Line	:
City	:	ANDERSON
State	:	SC
Zip	:	29621-3266
Country	:	US
Telephone Number	:	864-540-8432
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. PRAMOD REDDY GANTA
Credential	:	MD
Telephone Number	:	864-540-8432

Provider Enumeration Date	:	02/12/2020
Last Update Date	:	02/12/2020

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Directions to “SIRI COMPREHENSIVE HEALTH AND QUICK CARE ” Practice Location

Language	Start Address	Practice Location

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