Srinivas S Ganji, M.D.
Psychiatry & Neurology, Neurology in Covington, LA. Individual provider (NPI-1).
NPI number1508885955
StatusActive
Last updated in NPPESJun 20, 2012
Details
- NPI
- 1508885955
- Entity type
- Individual (NPI-1)
- Name
- Srinivas S Ganji
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 18, 2006
- Last updated
- Jun 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 05634R | LA | Yes |
| 2084S0012X | Psychiatry & Neurology, Sleep Medicine | 05634R | LA | |
| 2084N0600X | 05634R | LA |
Practice location
209 Highland Park PlzCovington, LA 70433-7130
Phone 985-892-6291 · Fax 985-892-8077
Mailing address
209 Highland Park PlzCovington, LA 70433-7130
Phone 985-892-6291 · Fax 985-892-8077
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