Provider Demographics
NPI:1992799365
Name:GANGANI, YASMEEN (MD)
Entity type:Individual
Prefix:MRS
First Name:YASMEEN
Middle Name:
Last Name:GANGANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18550 DEPAUL DR
Mailing Address - Street 2:STE 102
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037
Mailing Address - Country:US
Mailing Address - Phone:408-778-2025
Mailing Address - Fax:408-778-2070
Practice Address - Street 1:18550 DEPAUL DR
Practice Address - Street 2:STE 204
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037
Practice Address - Country:US
Practice Address - Phone:408-778-2025
Practice Address - Fax:408-778-2070
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA46598208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics