Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 30081 | NE |
Y | 207RP1001X | Pulmonary Disease | 30081 | NE |
NPI | 1093064040 |
---|---|
Provider Name | Dr. Meenakshi Ghosh |
First Address | Kearney, NE 68847-2958 |
Second Address | Kearney, NE 68847-2958 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2012 |
Last Update Date | 17/03/2018 |