Ganji, Srinivas S
Ganji, Srinivas S is an sole proprietor health care provider with primary practice located at 209 Highland Park Plz , Covington LA 70433-7130. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ganji, Srinivas S can be contacted via phone (985) 892-6291.Contact Information
Primary practice address
209 Highland Park Plz
Covington LA 70433-7130
Phone: (985) 892-6291
Fax: (985) 892-8077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 05634R | Louisiana |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 05634R | Louisiana |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 05634R | Louisiana |
Profile Details
| NPI number | 1508885955 |
|---|---|
| LBN Legal business name | Ganji, Srinivas S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jun 20th, 2012 - about 12 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 | 1508885955 | NPPES |
| Louisiana | MEDICAID | 1324353 |
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