Individual
RAJPAUL GANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4000 SPENCER HWY, PASADENA, TX 77504-1202
(713) 359-2000
(713) 359-1004
Mailing address
PO BOX 3945, DEPT 841, HOUSTON, TX 77253-3945
(281) 358-8114
(281) 358-0609
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M6625
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193409301
—
TX
05
—
193409302
—
TX
01
—
2790065052
MYUTMB 2790065052-COMMERCIAL NUMBER
—
01
—
8M7869
BCBS
TX
01
—
P00619151
RAILROAD MEDICARE
TX
Enumeration date
06/14/2007
Last updated
01/13/2016
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