Prasanth Ganesan, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

BP10044597 Issued in TX

Practice address

1400 Holcombe Blvd
Inv Cancer Therapeutics, MD Anderson Cancer Center
Houston, TX 77030-4008

Phone

(713) 563-8965

Fax

(713) 792-5553

NPI assigned

Nov 1, 2012

Sex

Male

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": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1710231402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HOLCOMBE BLVD",
            "address_2": "UNIT 0455, PO BOX 301402",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304008",
            "telephone_number": "713-563-8965",
            "fax_number": "713-792-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HOLCOMBE BLVD",
            "address_2": "INV CANCER THERAPEUTICS, MD ANDERSON CANCER CENTER",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304008",
            "telephone_number": "713-563-8965",
            "fax_number": "713-792-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANESAN",
        "first_name": "PRASANTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10044597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saumil Gandhi, MD
• Geraldin Gandingco, P.T.
• Karen Gandol, CSA
• Naga Swetha Kumari Gandu, DO
• Roaul Martinique Gandy, LMT
• Dhakshinamoorthy Ganeshan, M.D.
• Bhakti Avinash Gangapurkar, M.D.
• Amrita Ganguly, DDS
• Siddhartha Ganguly, M.D.
• Joan T Ganguzza, PA

• Student in an Organized Health Care Education/Training Program in Houston, TX
• Providers in Houston, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.