Provider Demographics
NPI:1952481848
Name:PADMESH, GANGA (MD)
Entity Type:Individual
Prefix:
First Name:GANGA
Middle Name:
Last Name:PADMESH
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 1:9727 ELK GROVE FLORIN RD STE 250
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-2290
Mailing Address - Country:US
Mailing Address - Phone:916-686-5003
Mailing Address - Fax:916-686-5015
Practice Address - Street 1:9727 ELK GROVE FLORIN RD STE 250
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-2290
Practice Address - Country:US
Practice Address - Phone:916-686-5003
Practice Address - Fax:916-686-5015
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA45762174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist