Individual
DR. GEETHA GANGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
PEACEHEALTH HOSPITAL MEDICINE, 3377 RIVERBEND DRIVE, SPRINGFIELD, OR 97477-8803
(541) 222-6389
(541) 222-6385
Mailing address
PEACEHEALTH HOSPITAL MEDICINE, 3377 RIVERBEND DRIVE, SPRINGFIELD, OR 97477-8803
(541) 222-6389
(541) 222-6385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
039564
CT
207R00000X
Internal Medicine Physician
MD212572
OR
208M00000X
Hospitalist Physician
039564
CT
208M00000X
Hospitalist Physician
Primary
MD212572
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001395640
—
CT
05
—
500811193
—
OR
Enumeration date
02/10/2006
Last updated
07/17/2023
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