Ghoshtagore, Srirupa
Ghoshtagore, Srirupa is an individual health care provider with primary practice located at 8450 Dorsey Run Rd , Jessup MD 20794-9486. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Ghoshtagore, Srirupa can be contacted via phone (410) 724-3089.Contact Information
Primary practice address
8450 Dorsey Run Rd
Jessup MD 20794-9486
Phone: (410) 724-3089
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D0026222 | Maryland |
Profile Details
NPI number | 1912994948 |
---|---|
LBN Legal business name | Ghoshtagore, Srirupa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2005 |
Last updated | Jun 18th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912994948 | NPPES |
Maryland | MEDICAID | 269341100 |
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