Individual
SANTHOSH GHEEVARGHESE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2005 TECHNOLOGY PKWY STE 300, MECHANICSBURG, PA 17050-9423
(717) 988-5864
Mailing address
2005 TECHNOLOGY PKWY STE 300, MECHANICSBURG, PA 17050-9423
(717) 988-5864
(717) 221-5615
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008007855
MO
207RP1001X
Pulmonary Disease Physician
Primary
MD467061
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103627498
—
PA
Enumeration date
07/16/2008
Last updated
08/27/2021
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