Individual
DR. GANESH CHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11375 CORTEZ BLVD, BROOKSVILLE, FL 34613-5409
(856) 291-6138
Mailing address
PO BOX 22253, TAMPA, FL 33622-2253
(727) 823-2188
(727) 828-0723
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME72615
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012
WELLCARE
FL
05
—
265906900
—
FL
01
—
32866
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/31/2006
Last updated
01/03/2025
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