DR. PAVAN GANAPATHIRAJU (NPI# 1023469988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023469988 |
| Entity Type | Individual |
| Full Name | DR. PAVAN GANAPATHIRAJU |
| Credential | DO, MPH |
| Practice Address |
1925 Pacific Ave Atlantic City NJ 08401-6713 |
| Practice Telephone | 6094418890 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1925 PACIFIC AVE |
| City | ATLANTIC CITY |
| State | NJ |
| Zip Code | 08401-6713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310615 | Atlantic Pathologists PC | Pathology | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2005-07-17 |
| 1336746882 | Lorraine Isler Alcantara | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-10-07 |
| 1487261285 | Aziza Lee Jadallah | Physician Assistant | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-09-25 |
| 1336757426 | Areej Lalani | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-07-15 |
| 1841817947 | Anum Shoaib Khan | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-07-06 |
| 1205453545 | Shil Shah | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-07-02 |
| 1700415015 | Maryam Hussain | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-04-07 |
| 1518596527 | Saima Mili | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-04-02 |
| 1508492737 | Elizabeth Parks | Nurse Practitioner | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-03-19 |
| 1588297378 | Aneta Savine | Nurse Practitioner | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1922597947 | Kara Nicole Bonsera | Nurse Practitioner | 1801 Atlantic Ave Fl 3, Atlantic City, NJ 08401 | 2018-05-04 |
| 1437605656 | John Brooks Recovery Center, A New Jersey Non-profit Corporation | Clinic/Center | 1931 Bacharach Blvd, Atlantic City, NJ 08401 | 2016-08-28 |
| 1265874051 | Mary K. Wilsbach | Social Worker | 1401 Atlantic Ave.suite 2200, Healthplex, Atlanticare Ambulatory Care Services;, Atlantic City, NJ 08401 | 2013-07-23 |
| 1326388133 | Atlantic City Board of Education | Local Education Agency (LEA) | 1300 Atlantic Avenue, 5th Floor, Atlantic City, NJ 08401 | 2013-02-15 |
| 1972818656 | Mittal H. Patel | Pharmacist | 1723 Pacific Ave, Atlantic City, NJ 08401 | 2010-08-18 |
| 1689803900 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2109 Atlantic Ave., Ste. 1016, Atlantic City, NJ 08401 | 2009-07-08 |
| 1750536850 | Joel G. Weiss | Dentist | 3822 Ventnor Ave, Atlantic City, NJ 08401 | 2008-11-18 |
| 1982879631 | Angela Butcher | Nurse's Aide | 401 North Martin Luthur King Blvd, Atlantic City, NJ 08401 | 2008-04-24 |
| Find all providers in zip 08401 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487117602 | Sreeja Sompalli | Student in an Organized Health Care Education/Training Program | 2015 Pacific Ave, Atlantic City, NJ 08401-6726 | 2019-04-14 |
| 1588014419 | Blessing Osondu | Student in an Organized Health Care Education/Training Program | 3851 Boardwalk Apt 2601, Atlantic City, Atlantic City, NJ 08401-6031 | 2016-06-22 |
| 1336746882 | Lorraine Isler Alcantara | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-10-07 |
| 1336757426 | Areej Lalani | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-07-15 |
| 1285242487 | Neha Siddiqui | Student in an Organized Health Care Education/Training Program | 2015 Pacific Ave, Atlantic City, NJ 08401-6726 | 2020-07-14 |
| 1841817947 | Anum Shoaib Khan | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-07-06 |
| 1205453545 | Shil Shah | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-07-02 |
| 1710508965 | Brett Kramer | Student in an Organized Health Care Education/Training Program | 2015 Pacific Ave, Atlantic City, NJ 08401-6726 | 2020-04-29 |
| 1992325070 | Joseph Weintraub | Student in an Organized Health Care Education/Training Program | 2015 Pacific Ave, Atlantic City, NJ 08401-6726 | 2020-04-20 |
| 1366061095 | Lauren Elizabeth Russo | Student in an Organized Health Care Education/Training Program | 2015 Pacific Ave, Atlantic City, NJ 08401-6726 | 2020-04-13 |
| Find all providers in ATLANTIC CITY | ||||
| City | ATLANTIC CITY |
| Zip Code | 08401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.