Individual
DR. LAKSHMANAN GANAPATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 E COURT AVENUE, SELMER, TN 38375
(731) 645-3216
(731) 645-6536
Mailing address
211 E COURT AVENUE, SELMER, TN 38375
(731) 645-3216
(731) 645-6536
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
0016816
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05661
TLC
TN
01
—
113241
UNISON
—
05
—
3019050
—
TN
01
—
53668
BCBS TN
—
Enumeration date
03/17/2006
Last updated
10/25/2007
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