Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ganesh C Kudva, MD

Individual provider Hematology & Oncology Physician · NPI 1689682551

Ganesh C Kudva, MD is a Medical Oncology in Jackson, Michigan. Qualified in 1986, 40 years ago. Practices with W. A. Foote Memorial Hospital, Inc, a 478-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
40
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 E Michigan Ave Ste 307
Jackson, MI 49201-1850
Phone: (517) 205-1594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12855 N 40 Dr, Saint Louis, MO 63141-8657 — (314) 443-6465

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 108047 (MO)

Record details

NPI number1689682551
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2006
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021
Mailing address1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMEDICAL ONCOLOGY
Also practisesHEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice W. A. Foote Memorial Hospital, Inc. — 478 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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