Active NPI
Balvant Kurji Ganatra, MD
- Gastroenterology Physician
- Flint, MI
National Provider Identifier
1780655225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- BG040280
- Practice address
- G5154 Miller Rd
Ste a B
Flint, MI 48507 - Phone
- (810) 733-3570
- Fax
- (810) 733-0856
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | BG040280 | MI | Primary |
Addresses
Primary practice location
G5154 Miller Rd
Ste a B
Flint, MI 48507
Mailing address
G5154 Miller Rd
Ste a B
Flint, MI 48507
Phone (810) 733-3570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1421393 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BG040280 | MI | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1780655225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G5154 MILLER RD",
"address_2": "STE A B",
"city": "FLINT",
"state": "MI",
"postal_code": "48507",
"telephone_number": "810-733-3570",
"fax_number": "810-733-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G5154 MILLER RD",
"address_2": "STE A B",
"city": "FLINT",
"state": "MI",
"postal_code": "48507",
"telephone_number": "810-733-3570",
"fax_number": "810-733-0856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANATRA",
"first_name": "BALVANT",
"middle_name": "KURJI",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "BG040280",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1421393",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.