Dr. Posavanike S Ganaraj, m.d.
Family Medicine in Tylertown, MS. Individual provider (NPI-1).
NPI number1003996281
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1003996281
- Entity type
- Individual (NPI-1)
- Name
- Dr. Posavanike S Ganaraj
- Credential
- m.d.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2006
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 07415 | MS | Yes |
| 261Q00000X | Clinic/Center | 07415 | MS |
Practice location
250 Hospital DrTylertown, MS 39667-2020
Phone 601-876-4961 · Fax 601-876-9172
Mailing address
250 Hospital DrPo Box465
Tylertown, MS 39667-2020
Phone 601-876-4961 · Fax 601-876-9172
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine Physician providers in Tylertown, MS
- Family Medicine Associates, PANPI 1033433628
- David Jameson, MDNPI 1982669636
- Walthall Rural Health ClinicNPI 1407166762
- Walthall Rural Health ClinicNPI 1518275544
All 5 Family Medicine Physician providers in Tylertown · All 115 providers in Tylertown
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