Sivaguru, Ganesan

Sivaguru, Ganesan is an individual health care provider with primary practice located at 3556A S Jefferson St , Baileys Crossroads VA 22041-3119. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Sivaguru, Ganesan can be contacted via phone (703) 379-1100.

Contact Information

Primary practice address
3556A S Jefferson St Baileys Crossroads VA 22041-3119
Phone: (703) 379-1100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618002463 Virginia
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 0618002463 Virginia

Profile Details

NPI number 1043696305
LBN Legal business name Sivaguru, Ganesan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2015
Last updated Mar 9th, 2017 - about 9 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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