Organization Active NPI

S K Ganguli MD PC

  • Urology Physician
  • Memphis, TN
National Provider Identifier
1902194897
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD009353 Issued in TN
Legal business name
S K GANGULI MD PC
Practice address
6005 Park Ave
Suite 308
Memphis, TN 38119-5202
Phone
(901) 761-5331
NPI assigned
Jul 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Mrs. Manju Ganguli
Title
Office Manager
Phone
(901) 761-5331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X MD009353 TN Primary

Addresses

Primary practice location

6005 Park Ave
Suite 308
Memphis, TN 38119-5202

Mailing address

6005 Park Ave
Suite 308
Memphis, TN 38119-5202
Phone (901) 761-5331

National Provider Directory

National Provider Directory

Locations

6005 Park Ave
Ste 308
Memphis, TN 38119
Phone (901) 761-2430

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1902194897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 308",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-761-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 308",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-761-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S K GANGULI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "GANGULI",
        "authorized_official_first_name": "MANJU",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-761-5331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TN",
            "license": "MD009353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.