Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 82366 | FL |
N | 111NI0900X | Internist | 82366 | FL |
Y | 207RN0300X | Nephrologist | 82366 | FL |
NPI | 1073537650 |
---|---|
Provider Name | Ranjan P Ghose |
First Address | Sarasota, FL 34239-2943 |
Second Address | Sarasota, FL 34239-2943 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 16/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1793 | BLUE CROSS OF FLORIDA (01) | FL |
262124000 | (05) | FL |
H41671 | (02) | FL |