Provider Demographics
NPI:1235382334
Name:GANGA, ANUPAMA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANUPAMA
Middle Name:
Last Name:GANGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 NORRIS CANYON RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-5409
Mailing Address - Country:US
Mailing Address - Phone:925-277-1100
Mailing Address - Fax:925-277-1358
Practice Address - Street 1:5401 NORRIS CANYON RD
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5409
Practice Address - Country:US
Practice Address - Phone:925-277-1100
Practice Address - Fax:925-277-1358
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA117242208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation