Individual provider · Type 1 NPI

Raja Sireesha Ghantasala, MBBS

Pediatrics Physician · Tucson, AZ

NPI number 1336721687 Active

Practice location

1925 W Orange Grove Rd Ste 109
Tucson, AZ 85704-1150

Call (520) 751-3675 Map

Fax (520) 547-5767

Mailing address

4801 E Broadway Blvd Ste 251
Tucson, AZ 85711-2700

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X73122 (AZ)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1336721687

Raja Sireesha Ghantasala, MBBS's National Provider Identifier is 1336721687, issued on Apr 26, 2021. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Tucson, AZ. The record was last updated on Jun 25, 2026.