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NPI Code Detail

MEDICARE: BALA GANAPATI INC

MEDICARE: BALA GANAPATI INC
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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0004XCompounding Pharmacy
43336C0003XCommunity/Retail PharmacyRS00641800NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23192185OTHEROTHER ID NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841390044
Entity Type Code : Organization
Provider Name (Legal Business Name) : BALA GANAPATI INC
Provider Business Mailing Address
First Line : 23 CANOE BROOK DRIVE
Second Line :
City : LIVINGSTON
State : NJ
Zip : 07039-3815
Country : US
Telephone Number : 973-926-9701
Fax Number : 973-923-7721
Provider Business Practice Location Address
First Line : 39 E MOUNT PLEASANT AVE
Second Line :
City : LIVINGSTON
State : NJ
Zip : 07039-2027
Country : US
Telephone Number : 973-926-9701
Fax Number : 973-923-7721
Authorized Official
Title or Position : PRESIDENT
Name : RASIK NAGRECHA
Credential :
Telephone Number : 73-926-9701
Provider Enumeration Date : 09/25/2006
Last Update Date : 11/03/2023

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Directions to “BALA GANAPATI INC ” Practice Location

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