Individual
SUMITHA SANTHOSHINI GANJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
664 ROBERT BLVD, SLIDELL, LA 70458-1648
(985) 646-0360
Mailing address
PO BOX 3370, COVINGTON, LA 70434-3370
(985) 400-5988
(985) 256-5687
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD.207619
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2398245
—
LA
Enumeration date
04/06/2010
Last updated
02/16/2021
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