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Export Provider Record NPI 1407896202
Jacques GanemMD
Active
NPI Number1407896202
NPI TypeNPI-1 Individual
SpecialtyUrology
Provider Details
NPI1407896202
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-06-08
Last Updated2013-08-05
Mailing Address1718 E 4th St, Suite 807
Charlotte, NC 28204-3260
United States
Phone: (704) 375-5755 | Fax: (704) 335-3380
๐Ÿ“ View Map
Primary Practice Address1718 E 4th St, Suite 807
Charlotte, NC 28204-3260
United States
Phone: (704) 375-5755 | Fax: (704) 335-3380
๐Ÿ“ View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No174400000X โ€“ SpecialistNC9800540
Yes208800000X โ€“ UrologyNC2254900
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About NPI 1407896202

Jacques Ganem MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1407896202. The primary specialty listed is Urology. The provider is located in Charlotte, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1407896202?

NPI 1407896202 belongs to Jacques Ganem MD, a Urology in Charlotte, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1407896202 active?

The current status of NPI 1407896202 in the NPPES registry is Active. The record was last updated on 2013-08-05.

What specialty is NPI 1407896202?

NPI 1407896202 is classified under the taxonomy Urology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1407896202?

You can verify NPI 1407896202 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1407896202?

The primary practice address on file for NPI 1407896202 is 1718 E 4th St, Charlotte, NC 28204-3260. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1407896202 issued?

NPI 1407896202 was first issued (enumerated) on 2006-06-08. The NPPES record was last updated on 2013-08-05.

Practice Location Map

Jacques Ganem is located at 1718 E 4th St, Charlotte, NC. Use the map below to find directions or verify the practice location.

๐Ÿ“ 1718 E 4th St, Charlotte, NC 28204-3260  ยท  Open in Google Maps โ†—

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Jacques Ganem. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1407896202. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Specialist9800540NC
Urology2254900NC
Data Verified from CMS NPPES Last synced: 2026-08-26 ยท Source: npiregistry.cms.hhs.gov ยท 45 CFR Part 162