Pingili, Ganga

Pingili, Ganga is an individual health care provider with primary practice located at 2835 82Nd Ave Se Ste 210 , Mercer Island WA 98040-3055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Pingili, Ganga can be contacted via phone (206) 236-3030.

Contact Information

Primary practice address
2835 82Nd Ave Se Ste 210 Mercer Island WA 98040-3055
Phone: (206) 236-3030
Fax: (206) 204-0808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 60188439 Washington

Profile Details

NPI number 1235174855
LBN Legal business name Pingili, Ganga
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Oct 2nd, 2015 - about 9 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 1235174855 NPPES
Georgia MEDICAID 621341781A
Georgia Other 003130

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