# ANJAN GHOSH MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477720639
- **Authorized official:** DR. ANJAN KUMAR GHOSH MD (PRESIDENT)
- **Authorized official phone:** (305) 819-7770

## Contact information

- **Practice address:** 456 W 51ST PL, HIALEAH, FL 33012-3620
- **Practice address phone:** (305) 819-7770
- **Practice address fax:** (305) 819-8898
- **Mailing address:** 15710 NW 10TH ST, PEMBROKE PINES, FL 33028-1604
- **Mailing address phone:** (305) 819-7770
- **Mailing address fax:** (305) 819-8898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2008
- **Last updated:** 05/15/2008