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Organization

PRAMELA R GANJI MD APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RANI GANJI M.D. (PHYSICIAN)
(504) 349-6808
Entity
Organization

Contact information

Practice address
1111 MEDICAL CENTER BLVD, SUITE S-555, MARRERO, LA 70072-3151
(504) 349-6808
(985) 781-1819
Mailing address
1111 MEDICAL CENTER BLVD, SUITE S-555, MARRERO, LA 70072-3151
(504) 349-6808
(985) 781-1819

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23779
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1362000
LA
Enumeration date
08/01/2008
Last updated
02/04/2009
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