Individual
SANJAY GHOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6645 ALVARADO RD, SUITE# 4000, SAN DIEGO, CA 92120-5208
(619) 229-3105
(619) 229-3127
Mailing address
6645 ALVARADO RD, SUITE# 4000, SAN DIEGO, CA 92120-5208
(619) 229-3105
(619) 229-3127
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A62563
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A625630
—
CA
Enumeration date
06/19/2006
Last updated
11/23/2009
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