Organization
NEPHROLOGY ASSOCIATES OF SARASOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANJAN P GHOSE M.D. (SECRETARY)
(941) 917-6585
Entity
Organization
Contact information
Practice address
1921 WALDEMERE ST, SUITE 413, SARASOTA, FL 34239-2943
(941) 917-6585
(941) 917-6514
Mailing address
1921 WALDEMERE ST, SUITE 413, SARASOTA, FL 34239-2941
(941) 917-6585
(941) 917-6514
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62887500
—
FL
01
—
99236
BLUE CROSS BLUE SHEILD OF FL
FL
01
—
C11284
RAILROAD MEDICARE
FL
Enumeration date
06/16/2006
Last updated
03/18/2022
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