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SRINIVAS S GANJI M.D. A PROF MEDICAL CORP NPI 1477880714


NPI Information

NPI: 1477880714
Provider Name: SRINIVAS S GANJI M.D. A PROF MEDICAL CORP
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
209 HIGHWAY PARK PLAZA
COVINGTON, LA
ZIP 70433
Phone: (985) 892-6291
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SRINIVAS S GANJI M.D. A PROF MEDICAL CORP is a specialist in Covington, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SRINIVAS S GANJI M.D. A PROF MEDICAL CORP NPI is 1477880714. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

209 HIGHWAY PARK PLAZA
COVINGTON, LA
ZIP 70433
Phone: (985) 892-6291
Fax: (985) 892-8077

The provider's authorized official is Srinivas S Ganji .
The authorized official title is Physician and has the following contact phone number (985) 892-6291.

The enumeration date for this NPI number is 11/6/2009 and was last updated on 11/6/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMD.05634RLOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B62799MEDICARE UPINLOUISIANA

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: 4/28/2024

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