Ganesh Kumar Namachivayam MD
Pediatrics Physician in Eau Claire, WI(View on Map)
Full Name
Ganesh Kumar Namachivayam MD
NPI Number
1902098486
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/17/2007
Specialties
(Taxonomies)Licenses
State
Nebraska
Wisconsin
License Number
24286
50153-20
Contact
Information
Purpose
Mailing
Location
Address
200 1ST ST SW
733 W CLAIREMONT AVE
City
Rochester
Eau Claire
State
MN
WI
Postal Code
55905-0001
54701-6101
Country
US
US
Telephone Number
(715) 838-5222
(715) 838-5222
Identifiers
Identifier
1902098486
Identifier State
WI
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
gnamachivayam24281@ehrdirect.mayoclinicmsg.org
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
733 W Clairemont AveEau Claire, WI547016101US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/09/2022
Provider Address
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