Individual
DR. GANESH SANJIV PRABHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2336 YORK RD, TIMONIUM, MD 21093-2216
(410) 252-5226
(410) 252-6620
Mailing address
2336 YORK RD, TIMONIUM, MD 21093-2216
(410) 252-5226
(410) 252-6620
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D21809
MD
Other
Enumeration date
03/01/2007
Last updated
07/09/2007
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