Soumyadeep Ghosh, MD

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

3017699 Issued in MA

Practice address

55 Fruit St
Boston, MA 02114-2696

Phone

(617) 643-2009

NPI assigned

Jan 16, 2025

Last updated

Feb 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1891506135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 ALLSTON ST APT 3",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021394885",
            "telephone_number": "650-664-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "617-643-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOSH",
        "first_name": "SOUMYADEEP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MA",
            "license": "3017699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra C Ghosh
• Nina Ghosh, M.D.
• Rachel Mundy Ghosh, PPCNP-BC
• Rahul Ghosh, MD
• Reena Ghosh, M.D.
• Sreela Ghoshroy, MD
• Bashar Ghoujal
• Mary Ghrayeb Haddad, M.D.
• Adel Ebrahim Ghuloom, MD
• Amarvir Singh Ghuman, DDS

• Body Imaging Physician in Boston, MA
• Providers in Boston, MA by specialty
• Body Imaging Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.