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)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