Sayak Ghatak, MD, PHD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

30407 Issued in MN

Practice address

420 Delaware St SE
Department of Lab Medicine and Pathology
Minneapolis, MN 55455

Phone

(612) 624-8133

NPI assigned

Jun 26, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1649831066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 8TH ST SE UNIT 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554145305",
            "telephone_number": "585-754-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE ST SE",
            "address_2": "DEPARTMENT OF LAB MEDICINE AND PATHOLOGY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55455",
            "telephone_number": "612-624-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHATAK",
        "first_name": "SAYAK",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MN",
            "license": "30407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ghata003@umn.edu",
            "affiliation": "N",
            "endpointDescription": "university email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "420 Delaware ST SE",
            "address_2": "Department of Lab Medicine and Pathology",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Selome Gezahegn, MD
• Virginia Lynn Ghafoor, PHARMD
• Shireen June Ghanatabadi, MA, LPCC
• Reem Ghanem
• Mahmood Gharib, M.D.
• Saba Ghazimoghadam, PH.D.
• Rahel Ghebre, M.D.
• Abdihakim Mohamed Ghedi
• Priti Ghodke
• Hiam Mazen Mohammad Ghunaim, M.D.

• Anatomic Pathology & Clinical Pathology Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.