Provider Demographics
NPI:1518005891
Name:GANGA, ROOPA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROOPA
Middle Name:
Last Name:GANGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5670 54TH AVE N
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:KENNETH CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33709-2068
Mailing Address - Country:US
Mailing Address - Phone:727-548-0260
Mailing Address - Fax:727-548-0270
Practice Address - Street 1:5670 54TH AVE N
Practice Address - Street 2:SUITE A-1
Practice Address - City:KENNETH CITY
Practice Address - State:FL
Practice Address - Zip Code:33709-2068
Practice Address - Country:US
Practice Address - Phone:727-548-0260
Practice Address - Fax:727-548-0270
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 97468207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease