Ganji, Jyoti B

Ganji, Jyoti B is an individual health care provider with primary practice located at 80 B Veterans Blvd , Acoma NM 87034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ganji, Jyoti B can be contacted via phone (505) 552-5300.

Contact Information

Primary practice address
80 B Veterans Blvd Acoma NM 87034
Phone: (505) 552-5300
Fax: (505) 552-5490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 06964R Louisiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 22011 Kansas
Allopathic & Osteopathic Physicians / Surgery 208600000X 13972 Arizona

Profile Details

NPI number 1255328266
LBN Legal business name Ganji, Jyoti B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Nov 23rd, 2016 - about 10 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 1255328266 NPPES
Louisiana MEDICAID 1979627
Louisiana MEDICAID H3451

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