Individual
GANESH SUNDAR KUMPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0100
(801) 581-5311
(801) 585-3936
Mailing address
PO BOX 413035, SALT LAKE CITY, UT 84141-3035
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
5711692-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34738700
—
WI
Enumeration date
07/30/2006
Last updated
12/10/2013
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