Ganatra, Jyotsom Bipin

Ganatra, Jyotsom Bipin is an individual health care provider with primary practice located at 250 River Rd , Manchester NH 03104-2423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ganatra, Jyotsom Bipin can be contacted via phone (603) 668-2020.

Contact Information

Primary practice address
250 River Rd Manchester NH 03104-2423
Fax: (603) 668-0881
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 12903 New Hampshire

Profile Details

NPI number 1033185772
LBN Legal business name Ganatra, Jyotsom Bipin
Credentials MD MPU
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Dec 14th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033185772 NPPES
Other 954007378NH01 ANTHEM
MEDICAID 30205198 ANTHEM

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