Individual
DEBABRATA GHOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
673 E RIVER ST, ELYRIA, OH 44035-5935
(440) 323-6422
(440) 322-5574
Mailing address
673 E RIVER ST, ELYRIA, OH 44035-5935
(440) 323-6422
(440) 322-5574
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
308919
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
356083532
OH
208D00000X
General Practice Physician
35.083532
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2629114
—
OH
Enumeration date
09/13/2006
Last updated
05/10/2023
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