Kalyani Ganesh, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

154862 Issued in NY

Practice address

518 James St
Suite 160
Syracuse, NY 13203-2238

Phone

(315) 423-5039

Fax

(315) 423-5045

NPI assigned

Jun 24, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1083900328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 JAMES ST",
            "address_2": "SUITE 160",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032238",
            "telephone_number": "315-423-5039",
            "fax_number": "315-423-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 JAMES ST",
            "address_2": "SUITE 160",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032238",
            "telephone_number": "315-423-5039",
            "fax_number": "315-423-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANESH",
        "first_name": "KALYANI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "154862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preethi Ganapathy, M.D.
• Ashley Gance
• Neeru Gandotra
• Devjani Ganesan, MBBS
• Aishwarya Ganesh, MBBS
• Rashmi Gangamma, PHD LMFT
• Keri Gangemi, LMSW
• Ravi Kumar Reddy Gangireddy, MD
• Siva Sankar Reddy Gangireddy, MD
• Benjamin Ganjian, DO

• Internal Medicine Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.