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Individual

NIVEDITA GANGULY

Active
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Individual

NIVEDITA GANGULY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32986
KS
207RI0200X
Infectious Disease Physician
Primary
32986
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-32986
MEDICAL LICENSE NUMBER
KS
05
200623410A
KS
Enumeration date
04/26/2007
Last updated
05/08/2014
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