Gani, Ayisha

Gani, Ayisha is an sole proprietor health care provider with primary practice located at 145 Riverstone Terrace Suite 100, Canton GA 30114. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gani, Ayisha can be contacted via phone (770) 704-9499.

Contact Information

Primary practice address
145 Riverstone Terrace Suite 100 Canton GA 30114
Phone: (770) 704-9499
Fax: (770) 704-9754
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 047083 Georgia

Profile Details

NPI number 1629050638
LBN Legal business name Gani, Ayisha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2005
Last updated Apr 5th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629050638 NPPES
Georgia MEDICAID 00831806A

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