Vathsala Ganeshan, MD | |
205 S Wabasha St, Mail Stop 31300a - Healthpartners St. Paul Clinic, St. Paul, MN 55107-1805 | |
(651) 293-8100 | |
(651) 293-8106 |
Full Name | Vathsala Ganeshan |
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Gender | Female |
Speciality | Pediatrics |
Location | 205 S Wabasha St, St. Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982688016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 42408 (Minnesota) | Primary |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
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Vathsala Ganeshan, MD 8170 33rd Ave S, Ms21110q, Minneapolis, MN 55425-4516 Ph: (952) 883-5375 | Vathsala Ganeshan, MD 205 S Wabasha St, Mail Stop 31300a - Healthpartners St. Paul Clinic, St. Paul, MN 55107-1805 Ph: (651) 293-8100 |
Kristin Lb Peterson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Children's Primary Clinic - Stpl, 347 North Smith Avenue, St. Paul, MN 55102 Phone: 651-220-6789 Fax: 651-220-6807 | |
Carrie Leigh Pettey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 347 N Smith Avenue 302, Childrens Primary Clinic Stpl, St. Paul, MN 55102 Phone: 651-220-6789 Fax: 651-220-6807 | |
Philip A Gasseling, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 Como Avenue, St. Paul, MN 55108 Phone: 952-853-8800 Fax: 651-641-6205 | |
Jennifer C Koziol Wozniak, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd - Ms 41102a, Healthpartners Specialty Center 401, St. Paul, MN 55130 Phone: 651-254-7560 Fax: 651-254-7564 | |
Debra A Weimerskirch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 345 North Smith Avenue, Children's Hospitals And Clinics Emergency Physicians, St. Paul, MN 55102 Phone: 651-220-6914 Fax: 651-220-6999 | |
Rachel Sarah Darling, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, St. Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 | |
Calley A. Lidle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 233 Grand Avenue, St. Paul, MN 55102 Phone: 651-227-7806 Fax: 651-256-6707 |