Individual
GANESH ASAITHAMBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 SMITH AVE N, SUITE 200, MR 65200, SAINT PAUL, MN 55102-2533
(651) 241-6550
(651) 241-6586
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
107622
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588807143
NPI
—
Enumeration date
04/13/2009
Last updated
11/04/2020
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