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General NPI Number Information
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NPI Number | 1649297672
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Entity Type | Organization
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Legal Business Name | GANESH PRASAD, M.D., INC.
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5771 N FRESNO ST STE 110
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City | FRESNO
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State | CA
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Zip | 93710-6091
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Country | US
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Telephone | 559-448-9900
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Fax | 559-448-9546
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Provider Business Mailing Address
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Address Line | 5771 N FRESNO ST STE 110
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City | FRESNO
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State | CA
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Zip | 93710-6091
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Country | US
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Telephone | 559-448-9900
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Fax | 559-448-9546
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GANESH PRASAD
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Credential | M.D.
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Telephone | 559-448-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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