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Individual

PARTHA S GHOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
57-014149
OH
2084N0400X
Neurology Physician
106093
MN
2084N0400X
Neurology Physician
Primary
55624
MN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
257709
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
IA
05
ENROLLED
MN
01
P01170726
RAILROAD MEDICARE
MN
Enumeration date
04/16/2008
Last updated
11/13/2020
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