Individual
SHIVANGI GANESHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
3800 RESERVOID RD NW, GROUND FLOOR, ROOM GG011C, WASHINGTON, DC 20007
(202) 444-1359
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
05/08/2026
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