Individual
CHIRANTAN GHOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1951 51ST ST NE, CEDAR RAPIDS, IA 52402-2460
(319) 294-1899
(319) 294-1773
Mailing address
1951 51ST ST NE, CEDAR RAPIDS, IA 52402-2460
(319) 294-1899
(319) 294-1773
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
27554
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1066704
—
IA
01
—
48937
BLUE CROSS BLUE SHIELD
IA
Enumeration date
12/02/2005
Last updated
01/25/2013
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