Organization
SANJAY GHOSH PHD MD PC
Active
Other names
SANJAY GHOSH PHD MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY GHOSH (PHD MD PC)
(636) 390-2288
Entity
Organization
Contact information
Practice address
1080 CAROLINE DR, STE 200, WASHINGTON, MO 63090-4902
(636) 390-2288
(636) 390-2277
Mailing address
1080 CAROLINE DR, STE 200, WASHINGTON, MO 63090-4902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2636376
OTHER ID NUMBER
—
05
—
506132208
—
MO
Enumeration date
12/18/2006
Last updated
03/21/2017
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