Provider Demographics
NPI:1265969885
Name:THIRUNAVUKKARASU, GANESH KESHAV (MBBS)
Entity type:Individual
Prefix:DR
First Name:GANESH KESHAV
Middle Name:
Last Name:THIRUNAVUKKARASU
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 CLARKSON AVENUE, MSC 1199
Mailing Address - Street 2:SUNY - DOWNSTATE, DEPARTMENT OF CARDIOLOGY
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203
Mailing Address - Country:US
Mailing Address - Phone:718-270-4388
Mailing Address - Fax:718-270-2917
Practice Address - Street 1:450 CLARKSON AV
Practice Address - Street 2:SUNY-DOWNSTATE HEALTH SCIENCES CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-270-1568
Practice Address - Fax:718-270-2917
Is Sole Proprietor?:No
Enumeration Date:2017-05-13
Last Update Date:2021-02-18
Deactivation Date:2017-12-18
Deactivation Code:
Reactivation Date:2021-02-18
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program