Individual
DR. GANESH KINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-5795
(706) 774-5792
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 854-6008
(706) 854-6946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200501387
NC
207R00000X
Internal Medicine Physician
87205
GA
207R00000X
Internal Medicine Physician
Primary
MD180177
OR
208M00000X
Hospitalist Physician
0101239762
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417027608
RMH GROUP NPI
VA
01
—
C05754
RMH MEDICARE GROUP PTAN
VA
Enumeration date
06/27/2006
Last updated
11/17/2020
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