Ganaraj, Posavanike S

Ganaraj, Posavanike S is an sole proprietor health care provider with primary practice located at 250 Hospital Dr , Tylertown MS 39667-2020. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ganaraj, Posavanike S can be contacted via phone (601) 876-4961.

Contact Information

Primary practice address
250 Hospital Dr Tylertown MS 39667-2020
Phone: (601) 876-4961
Fax: (601) 876-9172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 07415 Mississippi
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 07415 Mississippi

Profile Details

NPI number 1003996281
LBN Legal business name Ganaraj, Posavanike S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 18 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 1003996281 NPPES
Mississippi MEDICAID 09016259

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