Individual
MRS. UMA GANESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
8000 FRANKFORD RD, DALLAS, TX 75252-6834
(972) 232-8080
(800) 281-9558
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(972) 232-8080
(800) 281-9558
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
587561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016SH
BCBS
TX
05
—
2845281-01
—
TX
01
—
858N27
BCBS
TX
01
—
DO7564
PALMETTO RR
TX
01
—
P00969508
PALMETTO RR
TX
Enumeration date
07/08/2011
Last updated
02/24/2022
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