Srinivas S Ganji M.d. a Prof Medical Corp

NPI #1477880714 in Covington, Louisiana

Provider Information

NPI Number: 1477880714
Entity Type: Organization
Organization Name: Srinivas S Ganji M.d. a Prof Medical Corp
Primary Specialty: Specialist
Enumeration Date: Nov 6, 2009
Last Updated: Nov 6, 2009

Practice Location

Address: 209 HIGHWAY PARK PLAZA
City: Covington
State: Louisiana
ZIP Code: 70433
Phone: (985) 892-6291

Authorized Official

Name: DR. SRINIVAS S GANJI, M.D.
Title: PHYSICIAN
Phone: (985) 892-6291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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