Organization
JAYANTHI GANESAN, M.D., P.C.
Active
Organization
JAYANTHI GANESAN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYANTHI GANESAN M.D. (MD/PRESIDENT)
(402) 552-2212
Entity
Organization
Contact information
Practice address
4242 FARNAM ST, #142, OMAHA, NE 68131-2806
(402) 552-2212
(402) 552-2263
Mailing address
PO BOX 540367, OMAHA, NE 68154-0367
(402) 552-2212
(402) 552-2263
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025027500
—
NE
Enumeration date
08/05/2006
Last updated
11/28/2007
Update your record
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