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Contact Information

SRINIVAS S GANJI M.D. A PROF MEDICAL CORP
209 HIGHWAY PARK PLAZA
COVINGTON, LA70433
 Phone: 985-892-6291
 Fax: 985-892-8077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SRINIVAS S GANJI M.D. A PROF MEDICAL CORP

NPI # 1477880714
LBN Legal business name SRINIVAS S GANJI M.D. A PROF MEDICAL CORP
Authorized official SRINIVAS GANJI - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2009
Last updated 11/06/2009 - About 17 years ago
Identifiers
LA License # MD.05634R
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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