SURESH CHANDRA GHOSH MD NPI 1962424390

NPI Information

NPI: 1962424390
Provider Name: SURESH CHANDRA GHOSH, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
5000 FRANKFORD AVE
WAKELING BUILDING
PHILADELPHIA, PA
ZIP 19124
Phone: (215) 831-2355
Get Directions

Suresh Chandra Ghosh, MD is a vascular surgery surgery in Philadelphia, PA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Suresh Chandra Ghosh, MD NPI is 1962424390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5000 FRANKFORD AVE
WAKELING BUILDING
PHILADELPHIA, PA
ZIP 19124-620
Phone: (215) 831-2355
Fax: (215) 831-2017

The enumeration date for this NPI number is 7/24/2006 and was last updated on 10/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		MD032109L	PENNSYLVANIA	No
2	2086S0129X	Surgery	Vascular Surgery	MD032109L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6974266	OTHER	PENNSYLVANIA	AETNA HMO
2	0052523000	OTHER	PENNSYLVANIA	INDEPENDENCE BLUE CROSS
3	037241	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD
4	30685MD032109L	OTHER	PENNSYLVANIA	HEALTH PARTNERS
5	5574330	OTHER	PENNSYLVANIA	AETNA PPO
6	C28316	MEDICARE UPIN
7	0008205440005	MEDICAID	PENNSYLVANIA
8	307241R8C	MEDICARE PIN	PENNSYLVANIA
9	30065497	OTHER	PENNSYLVANIA	KEYSTONE MERCY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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