RAJIV JEYAKUMAR GANESAN (NPI# 1588058044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588058044 |
| Entity Type | Individual |
| Full Name | RAJIV JEYAKUMAR GANESAN |
| Credential | MD |
| Practice Address |
2410 Fire Mesa St Suite 180 Las Vegas NV 89128 |
| Mailing Address |
2410 Fire Mesa St Suite 180 Las Vegas NV 89128-9016 |
| Practice Telephone | 7029926875 |
| Practice Fax Number | 7029926878 |
| Mailing Telephone | 7029926875 |
| Mailing Fax Number | 7029926878 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 18053 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
2410 FIRE MESA ST SUITE 180 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447238258 | Amy Ellwood | Social Worker | 2410 Fire Mesa St, #180, Family Practice Center, Las Vegas, NV 89128-9016 | 2006-01-03 |
| 1235664020 | Betty Omandac | Nurse Practitioner | 2410 Fire Mesa St, Suite 160, Las Vegas, NV 89128-9016 | 2017-04-28 |
| 1851822969 | Hannah Hosotani | Student in an Organized Health Care Education/Training Program | 2410 Fire Mesa St, Suite 180, Las Vegas, NV 89128-9016 | 2017-03-22 |
| 1164953097 | David Masuck | Student in an Organized Health Care Education/Training Program | 2410 Fire Mesa St, Suite 180, Las Vegas, NV 89128-9016 | 2017-03-22 |
| 1750741740 | Genesis Wound Care of Las Vegas, LLC | Podiatrist | 2410 Fire Mesa St, Suite 160, Las Vegas, NV 89128-9016 | 2016-03-03 |
| 1366838567 | Hind Elsanousy | Family Medicine | 2410 Fire Mesa St, Suite 180, Las Vegas, NV 89128-9016 | 2015-04-14 |
| 1720472376 | Kathy Lao | Student in an Organized Health Care Education/Training Program | 2410 Fire Mesa St, Suite 180, Las Vegas, NV 89128-9016 | 2015-03-21 |
| 1487071825 | Harsh Patel | Student in an Organized Health Care Education/Training Program | 2410 Fire Mesa St, Suite 180, Las Vegas, NV 89128-9016 | 2014-03-24 |
| 1164864963 | Anthony V Borgia Dpm Pllc | Podiatrist | 2410 Fire Mesa St, Ste 160, Las Vegas, NV 89128-9016 | 2013-07-22 |
| 1528355609 | Yenh Mi Long | Pharmacist | 2410 Fire Mesa St, Las Vegas, NV 89128-9016 | 2011-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1558968420 | Neuro Health LLC | Family Medicine | 7455 W Washington Ave Ste 140, Las Vegas, NV 89128-4349 | 2020-10-05 |
| 1154934131 | Body & Mind Uplifment LLC | Family Medicine | 2215 Renaissance Dr Ste A, Las Vegas, NV 89119-6723 | 2020-08-28 |
| 1639788599 | Telelab | Family Medicine | 7881 W Charleston Blvd Ste 230, Las Vegas, NV 89117-8327 | 2020-07-27 |
| 1629687926 | Maria Habbi Md | Family Medicine | 501 S Rancho Dr Ste F40, Las Vegas, NV 89106-4834 | 2020-07-23 |
| 1225646805 | Shelley Elizabeth Ameduri | Family Medicine | 3943 Deluge Dr, Las Vegas, NV 89129-6481 | 2020-07-20 |
| 1659995090 | Universal Medical Alliance Inc. | Family Medicine | 6268 Spring Mountain Rd Ste 115b, Las Vegas, NV 89146-8873 | 2020-06-02 |
| 1255954640 | Partners In Primary Care Nv PC | Family Medicine | 4919 W Craig Rd, Las Vegas, NV 89130-2730 | 2020-05-20 |
| 1669095048 | Partners In Primary Care Nv PC | Family Medicine | 4813 S Eastern Ave, Las Vegas, NV 89119-6188 | 2020-05-20 |
| 1184247579 | Partners In Primary Care Nv PC | Family Medicine | 3129 N Rainbow Blvd, Las Vegas, NV 89108-4578 | 2020-05-20 |
| Find all providers in LAS VEGAS | ||||
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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.