NPI 1134979644 · live from the CMS NPI Registry
Ganesha Institute Of Neurology And Psychiatry Sc
Psychiatry & Neurology, Neurology in Phoenix, AZ. National Provider Identifier 1134979644, active.
NPI record
| NPI | 1134979644 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 9327 N 3rd St Ste 200, Phoenix, AZ 85020 |
| Practice phone | 847-816-6335 |
| Mailing address | Po Box 14545, Belfast, ME 04915 |
| Enumerated | March 26, 2024 |
| Last updated | January 17, 2025 |
| Authorized official | Lori Smith, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | — |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.