Ghosh, Prodyot

Ghosh, Prodyot is an individual health care provider with primary practice located at 550 S Landmark Ave , Bloomington IN 47403-3239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ghosh, Prodyot can be contacted via phone (812) 333-5973.

Contact Information

Primary practice address
550 S Landmark Ave Bloomington IN 47403-3239
Fax: (812) 330-3681
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01043532A Indiana

Profile Details

NPI number 1780689257
LBN Legal business name Ghosh, Prodyot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Dec 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780689257 NPPES
Indiana MEDICAID 200019050

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