Male or Other

Dr. Posavanike S. Ganaraj M.D.

Full Name

Dr. Posavanike S Ganaraj M.D.

NPI Number

1003996281

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/16/2006

Specialties

(Taxonomies)

Code

261Q00000X
207Q00000X

Primary Taxonomy

No
No

Licenses

State

Mississippi

License Number

07415

Contact
Information

Purpose

Mailing
Location

Address

250 HOSPITAL DR
250 HOSPITAL DR

City

Tylertown
Tylertown

State

MS
MS

Postal Code

39667-2020
39667-2020

Country

US
US

Telephone Number

(601) 876-4961
(601) 876-4961

Identifiers

Identifier

09016259

Identifier State

MS

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address