# ASHISH GANGASANI MD PLLC

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

## Provider details

- **NPI number:** 1861804023
- **Authorized official:** DR. ASHISH GANGASANI M.D (PHYSICIAN)
- **Authorized official phone:** (716) 807-2454

## Contact information

- **Practice address:** 6881 BROOK HOLLOW CT, WEST BLOOMFIELD, MI 48322-5208
- **Practice address phone:** (716) 807-2454
- **Mailing address:** 6881 BROOKHOLLOW CT, WEST BLOOMFIELD, MI 48322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | MI | Yes |

## Other

- **Enumeration date:** 05/22/2014
- **Last updated:** 05/22/2014