Individual
DR. IMRAN YASEEN GANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH STREET, AD-3401, AUGUSTA, GA 30912
(706) 721-2888
Mailing address
1120 15TH ST, STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT198839
PA
207RN0300X
Nephrology Physician
Primary
078542
GA
Other
Enumeration date
08/03/2011
Last updated
08/29/2019
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