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Contact Information

CHIRANTAN GHOSH, MD
1951 51ST ST NE
CEDAR RAPIDS, IA52402-2460
 Phone: 319-294-1899
 Fax: 319-294-1773
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHIRANTAN GHOSH · (Male)

NPI # 1013991082
Status Active
Credentials MD
Entity Individual
Enumeration date 12/02/2005
Last updated 01/25/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • IA License # 27554
  • IA Medicaid 1066704
  • IA Other 48937 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • MARENGO MEMORIAL HOSPITAL - (Critical Access)
    300 W MAY ST
    MARENGO, IA 52301
  • MERCY MEDICAL CENTER - CEDAR RAPIDS - (Acute Care)
    701 10TH STREET SE
    CEDAR RAPIDS, IA 52403
  • ST LUKES HOSPITAL - (Acute Care)
    1026 A AVE NE
    CEDAR RAPIDS, IA 52402
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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