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

Vidur Pravin Ghantiwala, DO

Individual provider Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1043710981

Vidur Pravin Ghantiwala, DO is a Physical Medicine and Rehabilitation in Naples, Florida. Graduated from West Virginia School of Osteopathic Medicine in 2018, 8 years ago. Practices with Korunda Medical, LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
FL
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4513 Executive Dr
Naples, FL 34119-9033
Phone: (239) 591-2803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence OS18179 (FL)

Record details

NPI number1043710981
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 16, 2018
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesPAIN MANAGEMENT
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice Korunda Medical, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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