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

Individual provider Specialist · NPI 1629289517

Vishal Ataish Ganesh, MD is an Orthopedic Surgery in Avondale, Arizona. Qualified in 2004, 22 years ago. Practices with Paragon Physical Therapy and Rehab LLC, a 92-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
22
Licensed in
AZ
In the registry since
2007
Specialties on file
2
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

10450 W McDowell Rd Ste 102
Avondale, AZ 85392-4901
Phone: (623) 846-7614
Fax: (623) 846-0993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 44706 (AZ)
Specialist Taxonomy 174400000X · Licence 44706 (AZ)

Record details

NPI number1629289517
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2007
Last updated in NPPESOctober 7, 2011

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Paragon Physical Therapy And Rehab Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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