AZHAGASUNDARAM GANESAN MD NPI 1285722736

NPI Information

  • NPI: 1285722736
  • Provider Name: AZHAGASUNDARAM GANESAN, MD
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Individual
  • Address: 534 CLIFTON AVE
    CLIFTON, NJ
    ZIP 07011
  • Phone: (976) 365-1330

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NPI Details

Azhagasundaram Ganesan, MD is a hematology and oncology internal medicine in Clifton, NJ. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Azhagasundaram Ganesan, MD NPI is 1285722736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

534 CLIFTON AVE
CLIFTON, NJ
ZIP 07011-230
Phone: (976) 365-1330
Fax: (973) 365-2410

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & Oncology30225NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
145237MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
22419301MEDICAIDNEW JERSEY
3C55888MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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