Individual provider

JYOTI B GANJI, MD

CMS NPPES lists JYOTI B GANJI as an individual provider record with NPI 1255328266. The current record reports a primary practice location in ACOMA, NM and primary taxonomy code 208600000X.

NPI 1255328266Record type Type 1Primary taxonomy 208600000X

Type 1 NPIs identify individual healthcare providers. How to read this profile

01

Practice locations

  1. Primary practice location
    80 B VETERANS BLVDACOMA, NM 87034

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 208600000XPrimary reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
October 4, 2005

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.