Individual
DR. GANESH BISSRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 CARDINAL DR, ROANOKE RAPIDS, NC 27870-4946
(252) 535-3091
(252) 535-3092
Mailing address
130 CARDINAL DR, ROANOKE RAPIDS, NC 27870-4946
(252) 535-3091
(252) 535-3092
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24890
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8915630
—
NC
Enumeration date
09/12/2006
Last updated
07/07/2010
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