Individual
DR. ASISH KUMAR GHOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
934 N GASKILL ST, HUNTSVILLE, AR 72740-8903
(479) 738-5500
(479) 738-1350
Mailing address
PO BOX 1060, MARSHALL, AR 72650-1060
(870) 448-5101
(870) 448-3767
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E-1960
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135784001
—
AR
01
—
5L073
BC/BS
AR
Enumeration date
08/11/2006
Last updated
01/15/2019
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