| Dr Thiyagu Ganesan, MD | |
|
5730 Packard Avenue, Suite No: 500, Marysville, CA 95993 | |
| (530) 749-3242 | |
| (530) 749-3248 |
| Full Name | Dr Thiyagu Ganesan |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 20 Years |
| Location | 5730 Packard Avenue, Marysville, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508204009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A140735 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ampla Health | 5092619270 | 70 |
| Entity Name | Ampla Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952333635 PECOS PAC ID: 5092619270 Enrollment ID: O20040225001116 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thiyagu Ganesan, MD 5730 Packard Ave, Suite 500, Marysville, CA 95901-7118 Ph: (530) 749-3242 | Dr Thiyagu Ganesan, MD 5730 Packard Avenue, Suite No: 500, Marysville, CA 95993 Ph: (530) 749-3242 |
Rashmi Tunuguntla, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 5730 Packard Ave Ste 500, Marysville, CA 95901 Phone: 530-749-3242 Fax: 530-767-1020 | |
Zainab Ajeena, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5730 Packard Ave Ste 500, Marysville, CA 95901 Phone: 530-749-3242 Fax: 530-767-1020 | |
Ms. Maria Tagle Abordo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5730 Packard Ave, Ste 600, Marysville, CA 95901 Phone: 530-741-6245 Fax: 530-741-9274 |