Provider Demographics
NPI:1184470783
Name:AKSHAY GANJU MD-PC
Entity type:Organization
Organization Name:AKSHAY GANJU MD-PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:VIVIANA
Authorized Official - Last Name:TULANDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-772-9222
Mailing Address - Street 1:45 W 67TH ST.
Mailing Address - Street 2:DOCTORS OFFICE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-772-9222
Mailing Address - Fax:212-879-7235
Practice Address - Street 1:45 W 67TH ST.
Practice Address - Street 2:DOCTORS OFFICE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-772-9222
Practice Address - Fax:212-879-7235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty