Ganesan, Shridarr

Ganesan, Shridarr is an sole proprietor health care provider with primary practice located at 195 Little Albany St , New Brunswick NJ 08901-1914. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Ganesan, Shridarr can be contacted via phone (732) 235-6777.

Contact Information

Primary practice address
195 Little Albany St New Brunswick NJ 08901-1914
Phone: (732) 235-6777
Fax: (732) 235-7355
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA078710 New Jersey
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 25MA078710 New Jersey

Profile Details

NPI number 1619916566
LBN Legal business name Ganesan, Shridarr
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Apr 12th, 2024 - about last year

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 1619916566 NPPES
New Jersey MEDICAID 0106810

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