Provider Demographics
NPI:1972241412
Name:TIMSINA, GANGA RAM
Entity Type:Individual
Prefix:
First Name:GANGA
Middle Name:RAM
Last Name:TIMSINA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4325 MALLARD AVE
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-2374
Mailing Address - Country:US
Mailing Address - Phone:330-785-5667
Mailing Address - Fax:
Practice Address - Street 1:4325 MALLARD AVE
Practice Address - Street 2:
Practice Address - City:STOW
Practice Address - State:OH
Practice Address - Zip Code:44224-2374
Practice Address - Country:US
Practice Address - Phone:330-785-5667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-24
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No376J00000XNursing Service Related ProvidersHomemaker