1508204009 NPI number — DR. THIYAGU GANESAN MD

Table of content: DR. THIYAGU GANESAN MD (NPI 1508204009)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508204009 NPI number — DR. THIYAGU GANESAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GANESAN
Provider First Name:
THIYAGU
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508204009
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/24/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5730 PACKARD AVE
Provider Second Line Business Mailing Address:
SUITE 500
Provider Business Mailing Address City Name:
MARYSVILLE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95901-7118
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-749-3242
Provider Business Mailing Address Fax Number:
530-749-3248

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5730 PACKARD AVENUE
Provider Second Line Business Practice Location Address:
SUITE NO: 500
Provider Business Practice Location Address City Name:
MARYSVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95993
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-749-3242
Provider Business Practice Location Address Fax Number:
530-749-3248
Provider Enumeration Date:
06/06/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  A140735 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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