Sanjay Ghosh PHD MD PC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

R6N94 Issued in MO

Legal business name

SANJAY GHOSH PHD MD PC

Doing business as

SANJAY GHOSH PHD MD PC

Practice address

1080 Caroline Dr
Ste 200
Washington, MO 63090-4902

Phone

(636) 390-2288

Fax

(636) 390-2277

NPI assigned

Nov 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sanjay GhoshNPI 1538178264

Title

PHD MD PC

Phone

(636) 390-2288

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SANJAY GHOSH PHD MD PC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sanjay Ghosh, PHD MD

  • Specialist
  • Washington, MO
  • NPI 1538178264
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083788509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 CAROLINE DR",
            "address_2": "STE 200",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 CAROLINE DR",
            "address_2": "STE 200",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904902",
            "telephone_number": "636-390-2288",
            "fax_number": "636-390-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY GHOSH PHD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHOSH",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PHD MD PC",
        "authorized_official_telephone_number": "636-390-2288"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MO",
            "license": "R6N94",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2636376",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANJAY GHOSH PHD MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brad Evan Rumancik, MD
• Kirstin Jenna Russell, PMHNP
• Sarah Ann Russell, AGACNP-BC
• Tina Ryan, FNP
• Marie Bernice Sander, RN, ANP-BC
• Sanjay Ghosh PHD MD PC
• Cheryl Collier Savage, LCSW
• Garry R Scarato, MD
• Thomas Schallom
• Anna Schell, FNP-C

• Non-Pharmacy Dispensing Site in Washington, MO
• Providers in Washington, MO by specialty
• Non-Pharmacy Dispensing Site in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.