SRINIVAS S GANJI M.D. A PROF MEDICAL CORP
NPI 1477880714
Specialist in Covington, LA

Q: What is Srinivas S Ganji M.D. A Prof Medical Corp's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 06, 2009

209 HIGHWAY PARK PLAZA, COVINGTON, LA 70433(985) 892-6291(985) 892-8077 Get Directions Write a Review

NPPES record last updated: November 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Srinivas S Ganji M.d. A Prof Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SRINIVAS S GANJI M.D. A PROF MEDICAL CORP (NPI 1477880714) is a healthcare organization registered as a specialist in Covington, Louisiana and active in the NPI registry since November 2009. The organization lists Srinivas S Ganji, Physician, as its authorized official.

NPPES Registry Identity

NPI1477880714

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSRINIVAS S GANJI M.D. A PROF MEDICAL CORP

Location Address209 HIGHWAY PARK PLAZACovington, LA 70433

Mailing Address209 Highway Park PlazaCovington, LA 70433 · (985) 892-6291 · Fax (985) 892-8077

Phone(985) 892-6291

Fax(985) 892-8077

Organization SubpartNo

Authorized OfficialSrinivas S GanjiPhysician · (985) 892-6291

Enumeration DateNovember 6, 2009

✔ NPI 1477880714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in LA · MD.05634R

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

209 HIGHWAY PARK PLAZA, Covington, LA 70433

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Other Identifiers 1

Medicare UPINB62799LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Srinivas S Ganji M.D. A Prof Medical Corp's NPI number?

The NPI number for Srinivas S Ganji M.D. A Prof Medical Corp is 1477880714. It was assigned to this organization in the NPPES registry on November 6, 2009.

Where is Srinivas S Ganji M.D. A Prof Medical Corp located?

Srinivas S Ganji M.D. A Prof Medical Corp is located at 209 Highway Park Plaza, Covington, LA 70433. The listed phone number is (985) 892-6291.

What is Srinivas S Ganji M.D. A Prof Medical Corp's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Srinivas S Ganji M.D. A Prof Medical Corp was last updated on November 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.