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General NPI Number Information
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NPI Number | 1386191419
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Entity Type | Organization
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Legal Business Name | JHANSI R GANESAN, MD PC
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 8355 CHERRY LN
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City | LAUREL
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State | MD
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Zip | 20707-4829
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Country | US
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Telephone | 301-725-4341
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Fax | 301-317-9070
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Provider Business Mailing Address
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Address Line | 8355 CHERRY LANE
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City | LAUREL
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State | MD
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Zip | 20707
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Country | US
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Telephone | 301-725-4341
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Fax | 301-317-9070
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JHANSI R GANESAN
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Credential | M.D
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Telephone | 301-725-4341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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