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Goutham Ganesan, MD/PHD
NPI 1467987677 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5755 Cottle Rd Bldg 24
San Jose, CA 95123 - Phone
- (408) 972-3095
- Organisation at this address
- Permanente Medical Group, Inc
Kaiser Santa Theresa Psychiatry DeptInferred from a shared address, not stated in the registry. - Clinicians at this address
- 115
Registry record
- Primary taxonomy
- Psychiatry
2084P0800X
- Also registered as
- 390200000X
- Licence states on file
- NC, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California