| Jayanthi Ganesan, M.d., P.c. | |
|
4242 Farnam St #142 Omaha NE 68131-2806 | |
| (402) 552-2212 | |
| (402) 552-2263 |
| Full Name | Jayanthi Ganesan, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4242 Farnam St, Omaha, Nebraska |
| Authorized Official Name and Position | Jayanthi Ganesan (MD/PRESIDENT) |
| Authorized Official Contact | 4025522212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jayanthi Ganesan, M.d., P.c. Po Box 540367 Omaha NE 68154-0367 Ph: (402) 552-2212 | Jayanthi Ganesan, M.d., P.c. 4242 Farnam St #142 Omaha NE 68131-2806 Ph: (402) 552-2212 |
| NPI Number | 1023027240 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 11/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023027240 | NPI | - | NPPES |
| 10025027500 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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