| Sanjay Ghosh PhD MD PC | |
|
1080 Caroline Dr Ste 200 Washington MO 63090-4902 | |
| (636) 390-2288 | |
| (636) 390-2277 |
| Full Name | Sanjay Ghosh PhD MD PC |
|---|---|
| Speciality | Internal Medicine - Rheumatology |
| Location | 1080 Caroline Dr, Washington, Missouri |
| Authorized Official Name and Position | Sanjay Ghosh (PHD MD PC) |
| Authorized Official Contact | 6363902288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjay Ghosh PhD MD PC 1080 Caroline Dr Ste 200 Washington MO 63090-4902 | Sanjay Ghosh PhD MD PC 1080 Caroline Dr Ste 200 Washington MO 63090-4902 Ph: (636) 390-2288 |
| NPI Number | 1992868277 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 03/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992868277 | NPI | - | NPPES |
| 506132208 | Medicaid | MO | |
| 2636376 | Other | OTHER ID NUMBER | |
| 2636376 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | () | Primary |
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