Individual provider · Type 1 NPI

Adithan Ganesh, MD

Student in an Organized Health Care Education/Training Program · Queens, NY

NPI number 1639926702 Active

Practice location

79-01 Broadway
Queens, NY 11373

Call (718) 334-3437 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639926702

Adithan Ganesh, MD's National Provider Identifier is 1639926702, issued on May 6, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Queens, NY. The record was last updated on Nov 29, 2024.