Individual
DR. ANDREW KUMAR GANESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7515 FLORIDA BLVD, BATON ROUGE, LA 70806-4700
(225) 924-5460
(225) 924-0988
Mailing address
8451 PICARDY AVE., UNIT 2218, BATON ROUGE, LA 70809
(202) 302-0883
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1947-883AT
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04339000
—
MD
Enumeration date
11/02/2010
Last updated
10/13/2021
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