Organization
JHANSI R GANESAN, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JHANSI R GANESAN M.D (PRESIDENT)
(301) 725-4341
Entity
Organization
Contact information
Practice address
8355 CHERRY LN, LAUREL, MD 20707-4829
(301) 725-4341
(301) 317-9070
Mailing address
8355 CHERRY LANE, LAUREL, MD 20707
(301) 725-4341
(301) 317-9070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153661300
—
MD
Enumeration date
09/07/2016
Last updated
07/09/2024
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