Organization Active NPI

Mahendra Ganjhu, M.D., P.C.

  • Internal Medicine Physician
  • Watervliet, NY
National Provider Identifier
1306065529
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MAHENDRA GANJHU, M.D., P.C.
Practice address
310 23Rd St
Watervliet, NY 12189-2126
Phone
(518) 274-2289
Fax
(518) 274-2171
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Mahendra Ganjhu, MD
Title
Owner
Phone
(518) 274-2289

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X

Addresses

Primary practice location

310 23Rd St
Watervliet, NY 12189-2126

Mailing address

PO Box 14524
Albany, NY 12212-4524
Phone (518) 459-0711

National Provider Directory

National Provider Directory

Locations

107 Everett Rd
Albany, NY 12205

410 Troy Schenectady Rd
Latham, NY 12110
Phone (518) 608-5826

310 23rd St
Watervliet, NY 12189
Phone (518) 274-2289

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1306065529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14524",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124524",
            "telephone_number": "518-459-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 23RD ST",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892126",
            "telephone_number": "518-274-2289",
            "fax_number": "518-274-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHENDRA GANJHU, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "GANJHU",
        "authorized_official_first_name": "MAHENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-274-2289",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watervliet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.