Organization Active NPI

Siri Cancer, Blood and Infusion Center

  • Hematology & Oncology Physician
  • Anderson, SC
National Provider Identifier
1164897963
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
SIRI CANCER, BLOOD AND INFUSION CENTER
Practice address
2508 N Main St Ste G
Anderson, SC 29621
Phone
(864) 540-8430
Fax
(866) 421-1896
NPI assigned
Dec 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pramod Ganta, M.DNPI 1841236395
Title
Owner
Phone
(864) 540-8430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

2508 N Main St Ste G
Anderson, SC 29621

Mailing address

2508 N Main St Ste G
Anderson, SC 29621-3266
Phone (864) 540-8430

Other practice location 1

1403 E Greenville St
Suite- E
Anderson, SC 29621-2049
Phone (864) 559-8028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160212000637 SC Part B Supplier - Clinic/Group Practice 4385948207 Receives reassigned benefits from 2 practitioners
Practice locations: Anderson, SC

National Provider Directory

National Provider Directory

Locations

3617 Highway 81 N
Anderson, SC 29621
Phone (864) 540-8430

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1164897963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 N MAIN ST STE G",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213266",
            "telephone_number": "864-540-8430",
            "fax_number": "866-421-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 N MAIN ST STE G",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "29621",
            "telephone_number": "864-540-8430",
            "fax_number": "866-421-1896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1403 E Greenville St",
            "address_2": "Suite- E",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296212049",
            "country_code": "US",
            "telephone_number": "864-559-8028",
            "fax_number": "866-421-1896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIRI CANCER, BLOOD AND INFUSION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "GANTA",
        "authorized_official_first_name": "PRAMOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-540-8430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.