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Individual
DR. GANESHA B. PERERA
Active
Individual
DR. GANESHA B. PERERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
060964
GA
2086S0129X
Vascular Surgery Physician
Primary
31463
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029
TRICARE
SC
01
—
067
BLUE CHOICE
SC
01
—
224310
MEDCOST
SC
01
—
AA46098552
MEDICARE PTAN
SC
05
—
G60964
—
SC
Enumeration date
11/15/2006
Last updated
10/17/2025
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