Individual
DR. GANESHAN RAMACHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 722-2663
(574) 753-1729
Mailing address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 722-2663
(574) 753-1729
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
02002611A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000731804
ANTHEM
IN
05
—
0065592
—
OH
01
—
196290UUU
MEDICARE - IN - CMA
IN
05
—
200445680
—
IN
01
—
P01729244
RAILROAD MEDICARE
IN
Enumeration date
03/16/2006
Last updated
12/13/2016
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