AZHAGASUNDARAM GANESAN


Address: 534 Clifton Ave, Clifton, NJ 07011-3230
Phone: 9763651330

AZHAGASUNDARAM GANESAN (NPI# 1285722736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285722736
Entity Type Individual
Full Name AZHAGASUNDARAM GANESAN
Credential MD
Practice Address 534 Clifton Ave
Clifton
NJ 07011-3230
Practice Telephone 9763651330
Practice Fax Number 9733652410
Mailing Telephone 9763651330
Mailing Fax Number 9733652410
Enumeration Date 2006-10-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
30225 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 2419301 05

Office Location

Street Address 534 CLIFTON AVE
City CLIFTON
State NJ
Zip Code 07011-3230

Providers in the same location

NPI Name Taxonomy Address Enumeration
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1437524493 Pooja Jainish Vashi Physical Therapist 246 Clifton Ave Ste 5, Clifton, NJ 07011 2015-12-02
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487805784 Dron Gauchan Internal Medicine 74a Richfield Ct, Clifton, NJ 07012 2008-10-05
1740222454 Kyudong Uhm Internal Medicine 1117 Us Highway 46, Suite 205, Clifton, NJ 07013-2449 2006-06-10
1255300141 Richards Afonja Internal Medicine 476 Colfax Ave, Clifton, NJ 07013-1624 2006-03-14
1689001745 Circadia LLC Internal Medicine 424 Clifton Ave, Clifton, NJ 07011-2645 2013-10-03
1215236047 United Medical PC Internal Medicine 1117 Route 46, Suite 205, Clifton, NJ 07013-2449 2011-03-18
1659542702 Aamir Zaman Internal Medicine 1035 Us Highway 46, Suite 202, Clifton, NJ 07013-2468 2008-03-17
1033387097 Maroules Hematology - Oncology LLC Internal Medicine 1011 Clifton Ave, 1st Floor, Clifton, NJ 07013-3518 2008-02-13
1265512610 Zaman and Zaman PC Internal Medicine 1035 Us Highway 46, Suite 202 B, Clifton, NJ 07013-2468 2006-10-17
1134221062 Michael Maroules Internal Medicine 1011 Clifton Ave, Clifton, NJ 07013-3518 2006-09-01

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1275098022 Regional Cancer Care Associates LLC Internal Medicine 75 Veronica Ave Ste 201, Somerset, NJ 08873-5002 2019-02-06
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City CLIFTON
Zip Code 07011

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Dataset Information

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.

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