Individual
DR. VISHWANATH GANESAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1441 EASTLAKE AVE LOS ANGELES CA 90089, LOS ANGELES, CA 90089-0001
(800) 872-2273
Mailing address
1441 EASTLAKE AVE LOS ANGELES CA 90089, LOS ANGELES, CA 90089-0001
(800) 872-2273
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A196657
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/30/2021
Last updated
01/22/2025
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