Individual
MANJUSHREE GHOSE
Active
Individual
MANJUSHREE GHOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
042827
GA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
042827
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00821631
—
GA
Enumeration date
07/26/2005
Last updated
10/07/2011
Update your record
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