MEDICARE: DR. KOMARANAHALLI P. GANESHAPPA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	G4578	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	100007418	OTHER	TX	MEDICARE - RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	88X770	OTHER	TX	BC/BS

General Provider Information

NPI Number	:	1275631525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KOMARANAHALLI P. GANESHAPPA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 17650
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-0650
Country	:	US
Telephone Number	:	210-253-3422
Fax Number	:	210-227-9833

Provider Business Practice Location Address
First Line	:	621 CAMDEN STREET
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78215-1639
Country	:	US
Telephone Number	:	210-253-3422
Fax Number	:	210-227-9833

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	05/09/2013

Similar Medicare Providers

1235237595 — DR. HECTOR D. ALLENDE M.D.
Practice Location Address:

621 CAMDEN STREET
SAN ANTONIO, TX
78215-1639

Practice Phone: 210-253-3422
Practice Fax: 210-227-9833

1457459695 — DR. RAVI L. GANESHAPPA M.D.
Practice Location Address:

621 CAMDEN STREET
SAN ANTONIO, TX
78215-1639

Practice Phone: 210-253-3422
Practice Fax: 210-227-9833

1366540544 — DR. RAVI BOTLA M.D.
Practice Location Address:

621 CAMDEN STREET , SUITE 202
SAN ANTONIO, TX
78215-1639

Practice Phone: 210-253-3422
Practice Fax: 210-227-9833

1649488222 — JAN CARLOS PRAZAK MD
Practice Location Address:

621 CAMDEN STREET , SUITE 202
SAN ANTONIO, TX
78215-1639

Practice Phone: 210-253-3422
Practice Fax: 210-227-9833

1871590588 — ALONZO ORTEGA DO
Practice Location Address:

517 SW MILITARY DR STE 106
SAN ANTONIO, TX
78221-1639

Practice Phone: 210-921-0322
Practice Fax: 210-921-1451

1548269335 — DR. GUILLERMO I ROCHA MD
Practice Location Address:

517 SW MILITARY DR STE 106
SAN ANTONIO, TX
78221-1639

Practice Phone: 210-921-0322
Practice Fax: 210-921-1451

Directions to “ DR. KOMARANAHALLI P. GANESHAPPA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.