Individual
ANJANA L GANESHAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
535 BARNHILL DR, STE 420, INDIANAPOLIS, IN 46202-5112
(317) 278-1979
(317) 278-1981
Mailing address
5870 GREENSTONE CT SE, SALEM, OR 97306-6913
(832) 452-8760
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD152844
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD152844
OREGON STATE MEDICAL LICENSE
OR
Enumeration date
05/21/2008
Last updated
10/07/2010
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