Individual
DR. RICHARD P. GANCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1155 MILL ST, RENO, NV 89502
(775) 982-7878
(775) 982-4196
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-4590
(775) 982-4595
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
3198
NV
207RC0000X
Cardiovascular Disease Physician
C40206
CA
207RI0011X
Interventional Cardiology Physician
Primary
3198
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016415
—
NV
01
—
CC2332
BLUE CROSS BLUE SHIELD
NV
05
—
XPY183366
—
CA
Enumeration date
07/20/2006
Last updated
08/22/2018
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