# JHANSI R GANESAN, MD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386191419
- **Authorized official:** DR. JHANSI R GANESAN M.D (PRESIDENT)
- **Authorized official phone:** (301) 725-4341

## Contact information

- **Practice address:** 8355 CHERRY LN, LAUREL, MD 20707-4829
- **Practice address phone:** (301) 725-4341
- **Practice address fax:** (301) 317-9070
- **Mailing address:** 8355 CHERRY LANE, LAUREL, MD 20707
- **Mailing address phone:** (301) 725-4341
- **Mailing address fax:** (301) 317-9070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2016
- **Last updated:** 07/09/2024