Individual
DR. SAI GANESH YARRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3707 NEW VISION DR, FORT WAYNE, IN 46845-1702
(260) 469-0551
Mailing address
3707 NEW VISION DR, FORT WAYNE, IN 46845-1702
(260) 469-0551
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301081446
MI
Other
Enumeration date
03/20/2007
Last updated
01/25/2012
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