Organization
SHUMO PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHUBHRANJAN GHOSH M.D. (PRESIDENT)
(907) 929-3355
Entity
Organization
Contact information
Practice address
2530 DEBARR RD, ANCHORAGE, AK 99508-2948
(907) 258-7575
Mailing address
12914 LINDSEY CIR, ANCHORAGE, AK 99516-2774
(907) 929-3355
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
115744
AK
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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