Individual
DR. PRAMELA R GANJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 MEDICAL CENTER BLVD, STE 304 NORTH, MARRERO, LA 70072-3151
(504) 349-6325
(504) 349-6327
Mailing address
1111 MEDICAL CENTER BLVD, STE 304 NORTH, MARRERO, LA 70072
(504) 737-6860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD11311R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669172
—
LA
01
—
721479355
TAX ID
LA
Enumeration date
02/05/2007
Last updated
07/09/2007
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