Individual
JAGADEESH RUDRAPPA GANJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. FACC
Contact information
Practice address
1126 N CHURCH ST STE 300, GREENSBORO, NC 27401-1037
(336) 938-0800
(336) 938-0755
Mailing address
PO BOX 745040, ATLANTA, GA 30374-5040
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
200100363
NC
207RI0011X
Interventional Cardiology Physician
200100363
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1288J
BCBS
NC
01
—
7779237
AETNA
—
Enumeration date
09/15/2006
Last updated
10/03/2024
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