Individual
DR. SELVA GANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 E BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33435-3839
(561) 732-3200
(561) 732-6849
Mailing address
211 E BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33435-3839
(561) 732-3200
(561) 732-6849
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0025890
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055845100
—
FL
Enumeration date
01/04/2007
Last updated
08/09/2011
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