# MOJAVE MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mojave Medical: Kevin Ganesh MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578215307
- **Authorized official:** DR. KEVIN GANESH MD (CEO)
- **Authorized official phone:** (760) 498-6140

## Contact information

- **Practice address:** 15982 TUSCOLA RD STE B, APPLE VALLEY, CA 92307-2111
- **Practice address phone:** (760) 498-6140
- **Mailing address:** 15982 TUSCOLA RD STE B, APPLE VALLEY, CA 92307-2111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2022
- **Last updated:** 07/20/2025