Individual
GEORGE S. GANESAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3201 S MARYLAND PKWY, SUITE 406, LAS VEGAS, NV 89109-2441
(702) 369-4999
(702) 369-2993
Mailing address
6670 S. TANAYA WAY, SUITE 180, LAS VEGAS, NV 89113
(702) 369-4999
(702) 369-2993
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6402
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20-19187
—
NV
Enumeration date
11/07/2005
Last updated
04/24/2014
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