Organization Active NPI

Pramela R Ganji MD Apmc

  • Family Medicine Physician
  • Marrero, LA
National Provider Identifier
1740446491
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23779 Issued in LA
Legal business name
PRAMELA R GANJI MD APMC
Practice address
1111 Medical Center Blvd
Suite S-555
Marrero, LA 70072-3151
Phone
(504) 349-6808
Fax
(985) 781-1819
NPI assigned
Aug 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Dr. Rani Ganji, M.D.
Title
Physician
Phone
(504) 349-6808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 23779 LA Primary

Addresses

Primary practice location

1111 Medical Center Blvd
Suite S-555
Marrero, LA 70072-3151

Mailing address

1111 Medical Center Blvd
Suite S-555
Marrero, LA 70072-3151
Phone (504) 349-6808

Other identifiers 1

IdentifierTypeStateIssuer
1362000MedicaidLA

National Provider Directory

National Provider Directory

Locations

1301 Barataria Blvd
Marrero, LA 70072
Phone (504) 341-1191

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1740446491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE S-555",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6808",
            "fax_number": "985-781-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE S-555",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6808",
            "fax_number": "985-781-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAMELA R GANJI MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "GANJI",
        "authorized_official_first_name": "RANI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "504-349-6808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "23779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1362000",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.