Bissram, Ganesh

Bissram, Ganesh is an individual health care provider with primary practice located at 130 Cardinal Dr , Roanoke Rapids NC 27870-4946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bissram, Ganesh can be contacted via phone (252) 535-3091.

Contact Information

Primary practice address
130 Cardinal Dr Roanoke Rapids NC 27870-4946
Phone: (252) 535-3091
Fax: (252) 535-3092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 24890 North Carolina

Profile Details

NPI number 1508960246
LBN Legal business name Bissram, Ganesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Jul 7th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508960246 NPPES
North Carolina MEDICAID 8915630

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