JYOTI B GANJI

ACOMA, NM
NPI1255328266
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: LA  06964R)
Additional Taxonomies208600000X Surgery
(Licence: KS  22011)
208600000X Surgery
(Licence: AZ  13972)
Enumeration Date2005-10-04
Last Update Date2016-11-23
Business Address
-- JYOTI B GANJI MD
80 B VETERANS BLVD
ACOMA, NM 87034
Phone number: 505-552-5300
Mailing Address
-- JYOTI B GANJI MD
PO BOX 130
SAN FIDEL, NM 87049-0130
Phone number: 505-552-5300