Dr. Madhusudan Ganigara

M.D. | Pediatric Cardiology | Male

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Complete Profile:

Dr. Madhusudan Ganigara basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Cardiology
Provider Name :	Dr. Madhusudan Ganigara
Credential :	M.D.
Gender :	Male

Business Address:

Dr. Madhusudan Ganigara address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	5841 S Maryland Ave Chicago, IL, 60637-1443 United States
Phone Number :	773-702-6529

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1679957377
NPI Entity Type :	Individual
First Enrolment Date :	13 Jul, 2015
Last Updated On :	18 Oct, 2022

Medicare Participation:

Dr. Madhusudan Ganigara participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0547504292
Medicare Enrollment ID :	I20221021002584
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2001
Accepts Medicare?	Yes. Dr. Madhusudan Ganigara accepts medicare insurance.

Group Practice Association:

Dr. Madhusudan Ganigara is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Madhusudan Ganigara is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Chicago	7719899426	1045	5841 S Maryland Ave University Of Chicago Medical Center Chicago, IL - 606371447 Ph: 7737021000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Madhusudan Ganigara are as mentioned. Primary taxonomy code for Dr. Madhusudan Ganigara, M.D. is 2080P0202X (Pediatrics, Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics, Pediatric Cardiology	Yes	036.160115	IL

Other Practice Locations:

Practice Address	City, State	Phone Number
4440 W 95TH ST, OAK LAWN, IL, 60453-2600 United States	OAK LAWN, IL	708-684-5580

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	5841 S Maryland Ave Chicago, IL, 60637-1443 United States
Phone Number :	773-702-6529

Business Location:

Patients can refer following map for directions to Dr. Madhusudan Ganigara practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.