Ganjam, Raghu D

Ganjam, Raghu D is an individual health care provider with primary practice located at 1507 S Hiawassee Rd Suite 107, Orlando FL 32835-5718. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ganjam, Raghu D can be contacted via phone (407) 445-9545.

Contact Information

Primary practice address
1507 S Hiawassee Rd Suite 107 Orlando FL 32835-5718
Phone: (407) 445-9545
Fax: (407) 445-9365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME87933 Florida
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X ME87933 Florida

Profile Details

NPI number 1558304261
LBN Legal business name Ganjam, Raghu D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 13th, 2022 - about 3 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 1558304261 NPPES
Florida MEDICAID 268463200

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