Ganesan, Shridarr
Ganesan, Shridarr is an sole proprietor health care provider with primary practice located at 195 Little Albany St , New Brunswick NJ 08901-1914. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Ganesan, Shridarr can be contacted via phone (732) 235-6777.Contact Information
Primary practice address
195 Little Albany St
New Brunswick NJ 08901-1914
Phone: (732) 235-6777
Fax: (732) 235-7355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA078710 | New Jersey |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 25MA078710 | New Jersey |
Profile Details
| NPI number | 1619916566 |
|---|---|
| LBN Legal business name | Ganesan, Shridarr |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Apr 12th, 2024 - about 2 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 | 1619916566 | NPPES |
| New Jersey | MEDICAID | 0106810 |
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