Selva Ganesh, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0025890 Issued in FL

Legal business name

SELVA GANESH, MD, PA

Practice address

211 E Boynton Beach Blvd
Boynton Beach, FL 33435-3839

Phone

(561) 732-3200

Fax

(561) 732-6849

NPI assigned

Oct 29, 2008

Last updated

Aug 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Selva Ganesh, M.D.NPI 1356498323

Title

Owner/Doctor

Phone

(561) 732-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Selva Ganesh, M.D.

  • Specialist
  • Boynton Beach, FL
  • NPI 1356498323
  Authorized official Same address or phone

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1467605857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334353839",
            "telephone_number": "561-732-3200",
            "fax_number": "561-732-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334353839",
            "telephone_number": "561-732-3200",
            "fax_number": "561-732-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELVA GANESH, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "GANESH",
        "authorized_official_first_name": "SELVA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "561-732-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0025890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265927100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.