Devendra, Ganesh L
Devendra, Ganesh L is an individual health care provider with primary practice located at 2925 Sycamore Dr Suite 103, Simi Valley CA 93065-1208. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Devendra, Ganesh L can be contacted via phone (805) 583-0944.Contact Information
Primary practice address
2925 Sycamore Dr Suite 103
Simi Valley CA 93065-1208
Phone: (805) 583-0944
Fax: (805) 526-0417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A44521 | California |
Profile Details
| NPI number | 1083681134 |
|---|---|
| LBN Legal business name | Devendra, Ganesh L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Dec 6th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083681134 | NPPES |
| California | MEDICAID | 00A445210 |
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