Active NPI
S K Ganguli MD PC
- Urology Physician
- Memphis, TN
National Provider Identifier
1902194897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD009353
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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 DirectoryLocations
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.