Individual
SRIDHAR GANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
70 EAST ST, METHUEN, MA 01844-4597
(516) 297-3036
Mailing address
70 EAST ST, METHUEN, MA 01844-4597
(516) 297-3036
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
242364
MA
207L00000X
Anesthesiology Physician
248617-1
NY
Other
Enumeration date
07/03/2007
Last updated
04/20/2012
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