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Individual

SOMA GHOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 946-4611
(509) 942-3128
Mailing address
560 GAGE BLVD, SUITE 203, RICHLAND, WA 99352-8650
(509) 942-3627
(509) 942-2268

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60591410
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2048243
WA
01
500692779
DMAP
WA
Enumeration date
05/02/2012
Last updated
04/04/2016
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