Individual
SHARMILA GHOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
515 W 59TH ST APT 8R, NEW YORK, NY 10019-1038
(646) 573-4358
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
4301506123
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301506123
MI
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
08/05/2016
Last updated
02/22/2022
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