NPI 1174718076

Shanti Portia Ganesh, MDMPH

Practitioner Physical Medicine & Rehabilitation Physician Huntington, WV

Practice location

Address: 1540 Spring Valley Dr Pm&r Department (117), Huntington, WV 25704-9300
Phone: (304) 429-6741

Registered specialties (3)

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 27395 (WV)

Other Physical Medicine & Rehabilitation providers in West Virginia →

Physical Medicine & Rehabilitation Physician

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 125050793 (IL)

Physical Medicine & Rehabilitation Physician

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 036123418 (IL)

Registry record

NPI: 1174718076
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2007
Record last updated: 17 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.