Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 261243 | NY |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 4301087808 | MI |
NPI | 1043473382 |
---|---|
Provider Name | Dr. Joya A Ganguly |
First Address | Detroit, MI 48201-2020 |
Second Address | Detroit, MI 48201-2020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 10/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03358321 | (05) | NY |