MEDICARE: TEJ GANTI MD

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	207V00000X	Obstetrics & Gynecology Physician	MT223512	PA

General Provider Information

NPI Number	:	1013585793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEJ GANTI MD

Provider Business Mailing Address
First Line	:	835 HOSPITAL RD
Second Line	:
City	:	INDIANA
State	:	PA
Zip	:	15701-3629
Country	:	US
Telephone Number	:	484-628-1324
Fax Number	:

Provider Business Practice Location Address
First Line	:	841 HOSPITAL RD STE 2500
Second Line	:
City	:	INDIANA
State	:	PA
Zip	:	15701-3699
Country	:	US
Telephone Number	:	724-427-2797
Fax Number	:	724-427-2715

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2021
Last Update Date	:	03/13/2026

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Directions to “ TEJ GANTI MD” Practice Location

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