Sanjay Ghosh, PHD MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

R6N94 Issued in MO

Practice address

1080 Caroline Dr
Suite 200
Washington, MO 63090-4902

Phone

(636) 390-2288

Fax

(636) 390-2277

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sanjay Ghosh PHD MD PC

  • Non-Pharmacy Dispensing Site
  • Washington, MO
  • NPI 1083788509
  NPD Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538178264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 CAROLINE DR",
            "address_2": "SUITE 200",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904902",
            "telephone_number": "636-390-2288",
            "fax_number": "636-390-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 CAROLINE DR",
            "address_2": "SUITE 200",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904902",
            "telephone_number": "636-390-2288",
            "fax_number": "636-390-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOSH",
        "first_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "PHD MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "R6N94",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Michael Garrison, DC
• Gateway Audiology LLC
• Ashley Nicole Gawlik, PA
• Jessica Lynn Gengler, D.O.
• Lawrence Myles Gerstein, DC
• Keith Gildehaus, M.D.
• Melissa Gildehaus, MASSAGE THERAPIST
• Charles McClelland Gill Jr., MD
• Jodi Elaine Glosemeyer, OTR/L
• D. Bruce Glover Jr., D.O.

• Specialist in Washington, MO
• Providers in Washington, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.