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General NPI Number Information
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NPI Number | 1881198885
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Entity Type | Individual
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Provider Name | AKAANSHA GANJU MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 10921 WILSHIRE BLVD STE 604
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City | LOS ANGELES
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State | CA
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Zip | 90024-4003
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Country | US
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Telephone | 310-606-1006
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Fax |
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Provider Business Mailing Address
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Address Line | 4215 TULLER AVE
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City | CULVER CITY
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State | CA
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Zip | 90230-4711
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Country | US
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Telephone | 617-913-7127
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | A173640
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License Number State | CA
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