National Provider Identifier
Jessica Anjali Geeta Gangaram, M.D.
Jessica Anjali Geeta Gangaram, M.D. is listed in the NPPES registry with a primary specialty of Pediatric Gastroenterology Physician in Rochester, NY and a listed phone number of (585) 275-2647.
Profile Overview
- NPI
- 1477991503
- Provider Type
- Individual
- Primary Specialty
- Pediatric Gastroenterology Physician
- Enumeration Date
- June 11, 2013
- Last Updated
- July 03, 2023
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-2647
Specialties
- Pediatric Gastroenterology Physician (2080P0206X)
- Pediatrics Physician (208000000X)
Endpoints
- agangaram187259@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1477991503
- Entity Type
- Individual
- Last Name
- Gangaram
- First Name
- Jessica
- Middle Name
- Anjali Geeta
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 601 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-2647
- Mailing Fax
- (585) 275-0707
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-2647
- Practice Fax
- (585) 275-0707
- Enumeration Date
- June 11, 2013
- Last Updated
- July 03, 2023
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Gastroenterology Physician (2080P0206X), Pediatrics Physician (208000000X)
- Other Identifiers
- 300950 (NY, State License)