Raghuvender Ganta, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

17965 Issued in OK

Practice address

14504 Maplelake Dr
Edmond, OK 73013-1863

Phone

(405) 748-6516

Fax

(405) 270-1546

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1770667305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14504 MAPLELAKE DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131863",
            "telephone_number": "405-748-6516",
            "fax_number": "405-270-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14504 MAPLELAKE DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131863",
            "telephone_number": "405-748-6516",
            "fax_number": "405-270-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANTA",
        "first_name": "RAGHUVENDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "17965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Galyean
• Ashley N Gammon
• Wendy Gamon
• Jay K Gannaway, MD
• Stephanie Lynn Gannaway, AU.D.,CCC-A
• Lance Matthews Garber, MD
• Myrna Michelle Garbrecht, PHARMD
• Daniela Garces
• Jormi D Garcia Tomaw
• Hayley Garcia, RBT

• Anesthesiology Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Anesthesiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.