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Individual

DR. SUSHANT D GHATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9569
Mailing address
5709 WILLOW ST, NEW ORLEANS, LA 70115-7063
(504) 481-0509

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
GETP
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2304569
LA
Enumeration date
08/14/2012
Last updated
08/22/2012
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