Provider Demographics
NPI:1972697738
Name:GANESH, VILASNI M (MD)
Entity Type:Individual
Prefix:DR
First Name:VILASNI
Middle Name:M
Last Name:GANESH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:555 KNOWLES DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1549
Mailing Address - Country:US
Mailing Address - Phone:408-378-3100
Mailing Address - Fax:408-378-1610
Practice Address - Street 1:555 KNOWLES DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1549
Practice Address - Country:US
Practice Address - Phone:408-378-3100
Practice Address - Fax:408-378-1610
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2016-06-28
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Provider Licenses
StateLicense IDTaxonomies
CAA80087207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI 07106Medicare UPIN