Individual
DR. SUBIR GHOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
832 HWY 15 NORTH, JACKSON, KY 41339-8601
(606) 666-5142
(606) 666-4172
Mailing address
PO BOX 907, JACKSON, KY 41339-0907
(606) 666-5142
(606) 666-4172
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
38152
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64073885
—
KY
Enumeration date
05/24/2005
Last updated
10/19/2009
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