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Individual

DR. CHOUDARY C. GANGA

Active
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Individual

DR. CHOUDARY C. GANGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
81-195
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15795
NM
05
16873
NM
01
21149621617
BEECH STREET
NM
05
250879
AZ
05
79231772
CO
01
NM009C62
BLUE CROSS BLUE SHEILD
NM
Enumeration date
05/24/2005
Last updated
07/13/2026
Update your record

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