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
Phone: (603) 668-2020
Fax: (603) 668-0881
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033185772 | NPPES |
| Other | 954007378NH01 | ANTHEM | |
| MEDICAID | 30205198 | ANTHEM |
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