Organization · Type 2 NPI
Srinivas S Ganji M.d. A Prof Medical Corp
Specialist · Covington, LA
NPI number
1477880714
Active
Practice location
209 Highway Park Plaza
Covington, LA 70433
Fax (985) 892-8077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MD.05634R (LA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1477880714
Srinivas S Ganji M.d. A Prof Medical Corp's National Provider Identifier is 1477880714, issued on Nov 6, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Covington, LA. The record was last updated on Nov 6, 2009.