Healthcare Provider Details

I. General information

NPI: 1386875854
Provider Name (Legal Business Name): AARTHI GANESH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2009
Last Update Date: 09/16/2021
Certification Date: 09/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 E NORTH AVE STE 300
PITTSBURGH PA
15212-4771
US

IV. Provider business mailing address

58 16TH ST
WHEELING WV
26003-3660
US

V. Phone/Fax

Practice location:
  • Phone: 412-322-7202
  • Fax:
Mailing address:
  • Phone: 304-234-1935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125056264
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number26348
License Number StateWV
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number26348
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: