Dr Sivathilaka S Ganesh, MD is a
Pediatrics physician based in Bonita, California. Dr Sivathilaka S Ganesh is licensed to practice in California (license number A53266) and her current practice location is 180 Otay Lakes Rd, Suite 300, Bonita, California. She can be reached at her office (for appointments etc.) via phone at
(619) 472-1000.
NPI number for Dr Sivathilaka S Ganesh is 1306876461 and her current mailing address is 180 Otay Lakes Rd, Suite 300, Bonita, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306876461.
Physician's Profile
Full Name | Dr Sivathilaka S Ganesh |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 180 Otay Lakes Rd, Bonita, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306876461
- Provider Enumeration Date: 07/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Sivathilaka S Ganesh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306876461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | A53266 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sivathilaka S Ganesh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Sivathilaka S Ganesh, MD 180 Otay Lakes Rd, Suite 300, Bonita, CA 91902-2443 Ph: (619) 472-1000 | Dr Sivathilaka S Ganesh, MD 180 Otay Lakes Rd, Suite 300, Bonita, CA 91902-2443 Ph: (619) 472-1000 |
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