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Dr. Posavanike S Ganaraj, MD
Clinic/Center in Tylertown, Mississippi
NPI 1003996281

Posavanike S Ganaraj is a Clinic/Center based in Tylertown, MS. Posavanike S Ganaraj practices in Tylertown, MS and has the professional credentials of MD. The NPI Number for Posavanike S Ganaraj is 1003996281 and holds a License No. 07415 (Mississippi).

The current practice location address for Posavanike S Ganaraj is 250 Hospital Dr, Tylertown, MS and can be reached out via phone at 601-876-4961 and via fax at 601-876-9172.

Location: 250 Hospital Dr, Tylertown, MS, 39667-2020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003996281
Provider Name
Posavanike S Ganaraj
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
250 Hospital Dr, Tylertown, MS, 39667-2020
Phone Number
601-876-4961
Fax Number
601-876-9172
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09016259 05 MS
institution
Provider Business Practice Location Address Details
Address
250 Hospital Dr
City
Tylertown
State
Mississippi
Zip
39667-2020
Phone Number
601-876-4961
Fax Number
601-876-9172
person
Provider Business Mailing Address Details
Address
250 Hospital Dr
City
Tylertown
State
Mississippi
Zip
39667-2020
Phone Number
601-876-4961
Fax Number
601-876-9172
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
07415 (Mississippi)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
07415 (Mississippi)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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