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Individual

GANESH SHENOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14181 S TAMIAMI TRL STE 120A, FORT MYERS, FL 33912-1985
(239) 303-2820
(239) 303-2511
Mailing address
14181 S TAMIAMI TRL STE 120A, FORT MYERS, FL 33912-1985
(239) 303-2820
(239) 303-2511

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME85488
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29034
BCBSFL
FL
Enumeration date
07/12/2006
Last updated
08/12/2022
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