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Individual

MANAS K GHOSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
32 ULULANI ST, HILO, HI 96720-2933
(808) 961-5569
(808) 933-1741
Mailing address
32 ULULANI ST, HILO, HI 96720-2933
(808) 961-5569
(808) 933-1741

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD-2337
HI
174400000X
Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000036145
HMSA
HI
05
03268001
HI
Enumeration date
08/18/2006
Last updated
10/17/2007
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