Individual
DR. ABHIMANYU GHOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3645 S ROME ST STE 209, GILBERT, AZ 85297-7338
(855) 485-4673
Mailing address
8283 N HAYDEN RD STE 100, SCOTTSDALE, AZ 85258-2456
(810) 956-3101
(480) 278-8833
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
120199
OH
207R00000X
Internal Medicine Physician
Primary
49923
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123781
—
AZ
Enumeration date
07/24/2009
Last updated
09/13/2021
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