Perera, Ganesha B.

Perera, Ganesha B. is an individual health care provider with primary practice located at 1350 Walton Way , Augusta GA 30901-2612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Perera, Ganesha B. can be contacted via phone (706) 774-7022.

Contact Information

Primary practice address
1350 Walton Way Augusta GA 30901-2612
Phone: (706) 774-7022
Fax: (706) 774-7023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 31463 South Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 060964 Georgia

Profile Details

NPI number 1689746299
LBN Legal business name Perera, Ganesha B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Feb 15th, 2022 - 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 1689746299 NPPES
South Carolina Other 029 TRICARE
South Carolina Other 067 TRICARE
South Carolina Other AA46098552 TRICARE
South Carolina Other 067 TRICARE
South Carolina MEDICAID G60964 TRICARE
South Carolina Other 224310 TRICARE

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