Healthcare Provider Details

I. General information

NPI: 1255263349
Provider Name (Legal Business Name): GANAPATHY MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1783 E SAHUARO BLOSSOM PL
TUCSON AZ
85718-7880
US

IV. Provider business mailing address

1783 E SAHUARO BLOSSOM PL
TUCSON AZ
85718-7880
US

V. Phone/Fax

Practice location:
  • Phone: 217-691-7775
  • Fax:
Mailing address:
  • Phone: 217-691-7775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. VENKATANARAYANAN GANAPATHY
Title or Position: DIRECTOR
Credential: MD, FRCS(C)
Phone: 217-691-7775