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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508885955 NPPES
Louisiana MEDICAID 1324353

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