Sri Nidhi Ganji, MD | |
116 Interstate Pkwy Ste 42, Bradford, PA 16701-1036 | |
(814) 736-2183 | |
(814) 362-8385 |
Full Name | Sri Nidhi Ganji |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 116 Interstate Pkwy Ste 42, Bradford, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710327986 | NPI | - | NPPES |
103322388 | Medicaid | PA | |
04817992 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD466346 (Pennsylvania) | Primary |
Entity Name | Olean General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649296781 PECOS PAC ID: 9133111784 Enrollment ID: O20040401001531 |
Entity Name | Olean Medical Practice Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285384412 PECOS PAC ID: 0042698045 Enrollment ID: O20220603000542 |
Mailing Address | Practice Location Address |
---|---|
Sri Nidhi Ganji, MD 908 Niagara Falls Blvd Ste 208, North Tonawanda, NY 14120-2019 Ph: (716) 692-3302 | Sri Nidhi Ganji, MD 116 Interstate Pkwy Ste 42, Bradford, PA 16701-1036 Ph: (814) 736-2183 |
Rebecca Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 116 Interstate Pkwy, Fourth Floor, Bradford, PA 16701 Phone: 814-362-8390 | |
Narayan Nayak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 195 Pleasant St, Bradford, PA 16701 Phone: 814-362-8390 | |
Anil Pradhan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 116 Interstate Parkway, Bradford, PA 16701 Phone: 814-362-8390 | |
Joseph H Goro, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 814-368-3123 Fax: 814-363-2701 |