Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mini Gantla, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114869740

Mini Gantla, MD is a Student in an Organized Health Care Education/Training Program in Fresno, California. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

155 N Fresno St
Fresno, CA 93701
Phone: (559) 499-6556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114869740
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 6, 2026
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing address155 N Fresno Street, Fresno, CA 93701

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