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Srinivas S Ganji M.d. A Prof Medical Corp
Specialist in Covington, Louisiana
NPI 1477880714

Srinivas S Ganji M.d. A Prof Medical Corp is a Specialist based in Covington, LA. Srinivas S Ganji M.d. A Prof Medical Corp practices in Covington, LA. The NPI Number for Srinivas S Ganji M.d. A Prof Medical Corp is 1477880714 and holds a License No. MD.05634R (Louisiana).

The current practice location address for Srinivas S Ganji M.d. A Prof Medical Corp is 209 Highway Park Plaza, Covington, LA and can be reached out via phone at 985-892-6291 and via fax at 985-892-8077.

Location: 209 Highway Park Plaza, Covington, LA, 70433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477880714
Provider Name
Srinivas S Ganji M.d. A Prof Medical Corp
Credential
Provider Entity Type
Organization
Address
209 Highway Park Plaza, Covington, LA, 70433
Phone Number
985-892-6291
Fax Number
985-892-8077
Provider Enumeration Date
11/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
209 Highway Park Plaza
City
Covington
State
Louisiana
Zip
70433
Phone Number
985-892-6291
Fax Number
985-892-8077
person
Provider Business Mailing Address Details
Address
209 Highway Park Plaza
City
Covington
State
Louisiana
Zip
70433
Phone Number
985-892-6291
Fax Number
985-892-8077
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD.05634R (Louisiana)
Definition
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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