Individual
DR. KARIM GANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 RIVERSTONE TER, SUITE 100, CANTON, GA 30114-5317
(678) 741-2317
(678) 741-2301
Mailing address
1700 HOSPITAL SOUTH DR, SUITE 410, AUSTELL, GA 30106-6810
(678) 741-5000
(770) 944-4492
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
046761
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00836239A
—
GA
01
—
202I109321
MEDICARE PTAN
GA
Enumeration date
11/16/2005
Last updated
04/23/2014
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