Individual
VED GANESHRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1631 11TH ST, WICHITA FALLS, TX 76301-4320
(940) 687-5100
(940) 687-3500
Mailing address
1405 TANGLEWOOD DR, WICHITA FALLS, TX 76309-1325
(940) 692-2978
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L6903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649196-02
—
TX
Enumeration date
04/04/2006
Last updated
03/16/2011
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