Individual
DR. JOYA A GANGULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4160 JOHN R ST, SUITE 510, DETROIT, MI 48201-2020
(313) 993-7777
(313) 993-2563
Mailing address
4160 JOHN R ST, SUITE 510, DETROIT, MI 48201-2020
(313) 993-7777
(313) 993-2563
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
261243
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
4301087808
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03358321
—
NY
Enumeration date
07/07/2008
Last updated
03/10/2015
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