Individual
KUMARESAN GANABATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 ALLEGHENY BLVD, SUITE J, BROOKVILLE, PA 15825-2323
(814) 849-8858
(814) 849-3741
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 849-8858
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD053586L
PA
Other
Enumeration date
02/24/2006
Last updated
06/12/2019
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