Individual
SOUMOJIT GHOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11525 OLDE CABIN RD, CREVE COEUR, MO 63141-7146
(314) 997-0554
(314) 997-5086
Mailing address
11525 OLDE CABIN RD, CREVE COEUR, MO 63141-7146
(314) 997-0554
(314) 997-5086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-50045
KS
207R00000X
Internal Medicine Physician
2021017854
MO
207RG0100X
Gastroenterology Physician
Primary
2021017854
MO
Other
Enumeration date
03/19/2018
Last updated
04/23/2026
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