Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 57-014149 | OH |
N | 2084N0400X | Neurologist | 106093 | MN |
Y | 2084N0400X | Neurologist | 55624 | MN |
N | 2084N0402X | Child Neurologist | 257709 | MA |
NPI | 1235303678 |
---|---|
Provider Name | Partha S Ghosh |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2008 |
Last Update Date | 13/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ENROLLED | (05) | IA |
ENROLLED | (05) | MN |
P01170726 | RAILROAD MEDICARE (01) | MN |