Individual
PRANAVA GANESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33-57 HARRISON ST, JOHNSON CITY, NY 13790
(607) 763-6622
Mailing address
33 LEWIS RD, FL 2, BINGHAMTON, NY 13905
(607) 770-0025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
295957
NY
207RC0000X
Cardiovascular Disease Physician
Primary
295957
NY
Other
Enumeration date
04/20/2015
Last updated
10/25/2024
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