| Ganesh Chari Md Llc | |
|
11375 Cortez Blvd Brooksville FL 34613-5409 | |
| (856) 291-6138 | |
| Not Available |
| Full Name | Ganesh Chari Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11375 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Ganesh Chari (OWNER / PROVIDER) |
| Authorized Official Contact | 8562916138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ganesh Chari Md Llc Po Box 22253 Tampa FL 33622-2253 Ph: (727) 823-2188 | Ganesh Chari Md Llc 11375 Cortez Blvd Brooksville FL 34613-5409 Ph: (856) 291-6138 |
| NPI Number | 1184463523 |
|---|---|
| Provider Enumeration Date | 05/24/2024 |
| Last Update Date | 01/03/2025 |
| Certification Date | 01/03/2025 |
| Medicare PECOS PAC ID | 9032653670 |
|---|---|
| Medicare Enrollment ID | O20240708000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184463523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Ganesh Chari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215048061 PECOS PAC ID: 8426191057 Enrollment ID: I20100204000698 |
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