Individual
DR. SHANTI PORTIA GANESH
Active
Individual
DR. SHANTI PORTIA GANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036123418
IL
208100000X
Physical Medicine & Rehabilitation Physician
125050793
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27395
WV
Other
Enumeration date
09/13/2007
Last updated
01/17/2017
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