SRINIVAS S GANJI (NPI# 1508885955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508885955 |
| Entity Type | Individual |
| Full Name | SRINIVAS S GANJI |
| Credential | M.D. |
| Practice Address |
209 Highland Park Plz Covington LA 70433-7130 |
| Practice Telephone | 9858926291 |
| Practice Fax Number | 9858928077 |
| Mailing Telephone | 9858926291 |
| Mailing Fax Number | 9858928077 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
05634R | LA | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
05634R | LA | Allopathic & Osteopathic Physicians |
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
05634R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1324353 | 05 |
| Street Address |
209 HIGHLAND PARK PLZ |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-7130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124380647 | Ramy El Khoury | Psychiatry & Neurology | 648 Crestwood Drive, Covington, LA 70433 | 2012-06-11 |
| 1336153733 | Karuna Shah | Psychiatry & Neurology | 5211 Highway 278 Ne, Covington, GA 30014-2671 | 2006-07-28 |
| 1518921329 | Larry J Gross | Psychiatry & Neurology | 722 Scott St, Covington, KY 41011-2418 | 2006-04-17 |
| 1427035278 | Demetrius M Maraganore | Psychiatry & Neurology | 101 Judge Tanner Blvd Ste 402, Covington, LA 70433-7505 | 2005-12-22 |
| 1073962528 | Neuro Care of Louisiana, LLC | Psychiatry & Neurology | 648 Crestwood Blvd, Covington, LA 70433-6521 | 2016-06-06 |
| 1104245927 | Sandra Lois Mchenry | Psychiatry & Neurology | 322 W Riverside St, Covington, VA 24426-1219 | 2014-04-09 |
| 1316389273 | John Lyle Tron Montero Gomez | Psychiatry & Neurology | 648 Crestwood Drive, Covington, LA 70433 | 2013-07-20 |
| 1700196912 | Northshore Psychiatric Care | Psychiatry & Neurology | 107 Highland Park Plz, Suite 107, Covington, LA 70433-7128 | 2010-10-21 |
| 1518177229 | Daniel Chehebar | Psychiatry & Neurology | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2007-05-23 |
| 1629286646 | Chad M Domangue | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433-7208 | 2007-05-21 |
| Find all providers in COVINGTON | ||||
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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.