Individual
DR. GANESAN RAJASEKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4543 S MANHATTAN AVE, SUITE 101, TAMPA, FL 33611-2330
(813) 837-0262
(813) 837-0919
Mailing address
4543 S MANHATTAN AVE, 101, TAMPA, FL 33611-2330
(813) 837-0262
(813) 837-0919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME21922
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003077000
—
FL
Enumeration date
05/02/2006
Last updated
09/21/2011
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