Organization
SRINIVAS S GANJI M.D. A PROF MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVAS S GANJI M.D. (PHYSICIAN)
(985) 892-6291
Entity
Organization
Contact information
Practice address
209 HIGHWAY PARK PLAZA, COVINGTON, LA 70433
(985) 892-6291
(985) 892-8077
Mailing address
209 HIGHWAY PARK PLAZA, COVINGTON, LA 70433
(985) 892-6291
(985) 892-8077
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.05634R
LA
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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