| Lakshmanan Ganapathy Llc | |
|
211 E Court Ave Selmer TN 38375-2303 | |
| (731) 645-3216 | |
| (731) 645-6536 |
| Full Name | Lakshmanan Ganapathy Llc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 211 E Court Ave, Selmer, Tennessee |
| Authorized Official Name and Position | Lakshmann Ganapathy (OWNER) |
| Authorized Official Contact | 7316453216 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakshmanan Ganapathy Llc 211 E Court Ave Selmer TN 38375-2303 Ph: (731) 645-3216 | Lakshmanan Ganapathy Llc 211 E Court Ave Selmer TN 38375-2303 Ph: (731) 645-3216 |
| NPI Number | 1801187877 |
|---|---|
| Provider Enumeration Date | 04/26/2011 |
| Last Update Date | 04/26/2011 |
| Medicare PECOS PAC ID | 9133397599 |
|---|---|
| Medicare Enrollment ID | O20110729000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801187877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | APN0000012650 (Tennessee) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD0000016816 (Tennessee) | Primary |
| Provider Name | Lakshmanan Ganapathy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023077203 PECOS PAC ID: 1456383694 Enrollment ID: I20110729000530 |
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