Individual
PRODYOT GHOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 333-5973
(812) 330-3681
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 333-5973
(812) 330-3681
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01043532A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200019050
—
IN
Enumeration date
06/20/2005
Last updated
12/12/2025
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