Individual
RAJIV JEYAKUMAR GANESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8355 CHERRY LANE, LAUREL, MD 20707
(301) 725-4341
(301) 317-9070
Mailing address
8355 CHERRY LANE, LAUREL, MD 20707
(301) 725-4341
(301) 317-9070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0098206
MD
Other
Enumeration date
03/23/2015
Last updated
04/24/2025
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