# DR. SHIVA KUMAR GANJI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134340037
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0069499 | MD | — |
| 208M00000X | Hospitalist Physician | C147047 | CA | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 02/21/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 417948000 | — | MD |
| 01 | — | 954070-01 & 02 | BLUE CROSS/BLUE SHIELD | MD |
| 01 | — | S062-0366 | BLUE CROSS/BLUE SHIELD - REGIONAL | MD |