Individual
THIYAGARAJAN GANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-2020
(260) 266-2009
Mailing address
3702 NEW VISION DR, STE B, FORT WAYNE, IN 46845-1703
(260) 266-8210
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01065538A
IN
207R00000X
Internal Medicine Physician
Primary
01065538A
IN
208M00000X
Hospitalist Physician
01065538A
IN
208M00000X
Hospitalist Physician
83287
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000588059
ANTHEM
IN
05
—
200197150
—
IN
01
—
P00664354
MEDICARE RAILROAD
IN
Enumeration date
09/09/2008
Last updated
09/30/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us