Provider Demographics
NPI:1659973782
Name:GHALEY, GANGA MAYA
Entity Type:Individual
Prefix:MRS
First Name:GANGA
Middle Name:MAYA
Last Name:GHALEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GANGA GHALEY (701-739-9208)
Mailing Address - Street 2:2318 W FALLCREEK CT
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201
Mailing Address - Country:US
Mailing Address - Phone:701-739-9208
Mailing Address - Fax:
Practice Address - Street 1:GANGA GHALEY (701-739-9208)
Practice Address - Street 2:2318 W FALLCREEK CT
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201
Practice Address - Country:US
Practice Address - Phone:701-739-9208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant