Organization
CHILDRENS UROLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE GANESAN MD (PARTNER)
(702) 369-4999
Entity
Organization
Contact information
Practice address
6670 S TENAYA WAY STE 180, LAS VEGAS, NV 89113-1964
(702) 369-4999
(702) 369-2993
Mailing address
6670 S TENAYA WAY STE 180, LAS VEGAS, NV 89113-1964
(702) 369-4999
(702) 369-2993
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
6402
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134324668
—
NH
Enumeration date
06/15/2007
Last updated
08/12/2020
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