Individual
KAVITHA GANESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7200
Mailing address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7200
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
U9924
TX
Other
Enumeration date
04/14/2016
Last updated
07/11/2024
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