Jayanthi Ganesan, M.D., P.C.
Internal Medicine in Omaha, NE. Organization (NPI-2).
NPI number1023027240
StatusActive
Last updated in NPPESNov 28, 2007
Details
- NPI
- 1023027240
- Entity type
- Organization (NPI-2)
- Legal business name
- Jayanthi Ganesan, M.D., P.C.
- Organization subpart
- No
- Enumeration date
- Aug 5, 2006
- Last updated
- Nov 28, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
4242 Farnam St#142
Omaha, NE 68131-2806
Phone 402-552-2212 · Fax 402-552-2263
Mailing address
Po Box 540367Omaha, NE 68154-0367
Phone 402-552-2212 · Fax 402-552-2263
Authorized official
Jayanthi Ganesan
MD/President
4025522212
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