Individual
KOUSHIK GHOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
(319) 768-1000
Mailing address
2635 G ST, BAKERSFIELD, CA 93301-2813
(661) 633-2300
(661) 438-5996
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36719
IA
Other
Enumeration date
09/20/2006
Last updated
11/03/2016
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