Individual
DR. SHIVA KUMAR GANJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 E ROMIE LN, SALINAS, CA 93901-4029
(831) 757-4333
Mailing address
100 WILSON RD STE 100, MONTEREY, CA 93940-7885
(831) 649-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0069499
MD
208M00000X
Hospitalist Physician
Primary
C147047
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417948000
—
MD
01
—
954070-01 & 02
BLUE CROSS/BLUE SHIELD
MD
01
—
S062-0366
BLUE CROSS/BLUE SHIELD - REGIONAL
MD
Enumeration date
05/01/2007
Last updated
02/21/2023
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