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Individual
DR. KIRAT SANTANU GHOSH
Active
Individual
DR. KIRAT SANTANU GHOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L3657
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080184128
RR MEDICARE
TX
01
—
8F3456
BCBS
TN
Enumeration date
06/29/2006
Last updated
07/28/2009
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