Individual
DR. SEAN JON GHOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6031
(314) 251-6343
Mailing address
11475 OLDE CABIN RD STE 200, SAINT LOUIS, MO 63141-7129
(314) 991-8200
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2022037587
MO
2085R0202X
Diagnostic Radiology Physician
Primary
2022037587
MO
Other
Enumeration date
04/08/2016
Last updated
10/10/2022
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