MEDICARE: GEORGE S. GANESAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	6402	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457332538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE S. GANESAN M.D.

Provider Business Mailing Address
First Line	:	6670 S. TANAYA WAY
Second Line	:	SUITE 180
City	:	LAS VEGAS
State	:	NV
Zip	:	89113
Country	:	US
Telephone Number	:	702-369-4999
Fax Number	:	702-369-2993

Provider Business Practice Location Address
First Line	:	3201 S MARYLAND PKWY
Second Line	:	SUITE 406
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2441
Country	:	US
Telephone Number	:	702-369-4999
Fax Number	:	702-369-2993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	04/24/2014

Similar Medicare Providers

1104113471 — CAROLINE NGUYEN M.D.
Practice Location Address:

3201 S MARYLAND PKWY , STE 608
LAS VEGAS, NV
89109-2441

Practice Phone: 702-457-5437
Practice Fax:

1275538126 — DR. NICOLE R. FLORA MD
Practice Location Address:

3201 S MARYLAND PKWY , SUITE 400
LAS VEGAS, NV
89109-2441

Practice Phone: 702-262-1130
Practice Fax: 702-262-1161

1669468021 — RONALD STEPHEN HOFFLANDER MD
Practice Location Address:

3201 S MARYLAND PKWY , SUITE 601
LAS VEGAS, NV
89109-2441

Practice Phone: 702-894-4440
Practice Fax: 702-894-9917

1861470890 — ANGELITA TAN-TORRES PA-C
Practice Location Address:

3201 S MARYLAND PKWY , #400
LAS VEGAS, NV
89109-2441

Practice Phone: 702-262-1130
Practice Fax: 702-262-1161

1962451047 — MICHAEL OMOREGIE AIGBE M.D.
Practice Location Address:

3201 S MARYLAND PKWY , SUITE 606
LAS VEGAS, NV
89109-2441

Practice Phone: 702-639-1700
Practice Fax: 702-639-1717

1205882800 — SOUTHERN NEVADA ALLERGY PHYSICIANS
Practice Location Address:

3201 S MARYLAND PKWY , STE 306
LAS VEGAS, NV
89109-2441

Practice Phone: 702-735-1400
Practice Fax: 702-735-9273

Directions to “ GEORGE S. GANESAN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.