Srinivas S Ganji M.D. a Prof Medical Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD.05634R Issued in LA

Legal business name

SRINIVAS S GANJI M.D. A PROF MEDICAL CORP

Practice address

209 Highway Park Plaza
Covington, LA 70433

Phone

(985) 892-6291

Fax

(985) 892-8077

NPI assigned

Nov 6, 2009

Last updated

Nov 6, 2009By 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. Srinivas S Ganji, M.D.NPI 1508885955

Title

Physician

Phone

(985) 892-6291

Specialties & licenses 1

Addresses

Locations

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.

• Srinivas S Ganji, M.D.

  • Neurology Physician
  • Covington, LA
  • NPI 1508885955
  Authorized official Same address or phone

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1477880714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 HIGHWAY PARK PLAZA",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-892-6291",
            "fax_number": "985-892-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 HIGHWAY PARK PLAZA",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-892-6291",
            "fax_number": "985-892-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRINIVAS S GANJI M.D. A PROF MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "GANJI",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "985-892-6291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD.05634R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Spohn, PA-C
• Richard Dale Springer, CSA
• Haylee Sproles, DPT
• Kristel Sproles, APRN
• Angelia Renae Spurgin, LP
• St Tammany Emergency Physicians Group LLC
• St Tammany Heart & Vascular Institute
• St Tammany Parish Hospital Employee Pharmacy
• St Tammany Parish Hospital Service District No 1 (St Tammany Health System Pain Management Clinic)
• St Tammany Parish Hospital Service District No 1 (St. Tammany Health System Pharmacy at Braswell's)

• Specialist in Covington, LA
• Providers in Covington, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.