Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THIYAGU GANESAN, MD
Active Sole ProprietorDR. THIYAGU GANESAN, MD is a Pediatrics healthcare provider located in MARYSVILLE, California. NPI 1508204009 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · MARYSVILLE, CA
Registration Details
- NPI Number
- 1508204009
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2013 (13.152878566706 yrs)
- Last Updated
- Oct 24, 2016
- License
-
A140735 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5730 PACKARD AVENUESUITE NO: 500MARYSVILLE, CA, 95993Browse CA providers · Browse ZIP 95993
- Phone
- 5307493242
- Fax
- 5307493248
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in MARYSVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| MS. MARIA TAGLE ABORDO | M.D. | 1790704302 |
| ZAINAB AJEENA | MD | 1679832091 |
| RASHMI TUNUGUNTLA | D.O. | 1639543572 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.