Sudha Ganne


Address: 103 Parker Rd, Suite B, West Long Branch, NJ 07764-1009

Sudha Ganne (NPI# 1376747618, PAC ID# 7416044250) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.

Physician Overview

Nation Provider ID (NPI) 1376747618
PAC ID by PECOS 7416044250
Professional Enrollment ID I20071026000173
Full Name Sudha Ganne
Address 103 Parker Rd
Suite B
West Long Branch
NJ 07764-1009
Gender F
Medical School STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year 2007
Primary Specialty ENDOCRINOLOGY
Secondary Specialties INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310075 MONMOUTH MEDICAL CENTER
310073 JERSEY SHORE UNIVERSITY MEDICAL CENTER
310034 RIVERVIEW MEDICAL CENTER

Other Locations

Address Phone Organization
300 2nd Ave, Long Branch, NJ 07740-6303 7322225200 MONMOUTH MEDICAL CENTER FACULTY PRACTICE PLAN, INC.
103 Parker Rd, Suite B, West Long Branch, NJ 07764-1009

Organization Information

Office Location

Street Address 103 PARKER RD
SUITE B
City WEST LONG BRANCH
State NJ
Zip 07764-1009

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Competitor

Search similar physicians

City WEST LONG BRANCH
Zip Code 07764
Specialty ENDOCRINOLOGY
City + Specialty WEST LONG BRANCH + ENDOCRINOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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