Individual
ARCHANA GANARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8160 WALNUT HILL LN, SUITE 113, DALLAS, TX 75231-4339
(214) 345-7374
(214) 345-7375
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L1322
TX
2086X0206X
Surgical Oncology Physician
Primary
L1322
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352606301
—
TX
Enumeration date
07/11/2006
Last updated
08/10/2022
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