Supriyo U Ghosh (NPI# 1366430019, PAC ID# 6305828138) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1366430019 |
| PAC ID by PECOS | 6305828138 |
| Professional Enrollment ID | I20040604000084 |
| Full Name | Supriyo U Ghosh |
| Organization Legal Name | AZIZKHAN INTERNAL MEDICINE ASSOCIATES |
| Address |
888 Poplar Church Rd Camp Hill PA 17011-2205 |
| Phone Number | 7177242126408 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 8527040351 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390067 | PINNACLE HEALTH HOSPITALS |
| 390004 | HOLY SPIRIT HOSPITAL |
| 390058 | CARLISLE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 888 Poplar Church Rd, Camp Hill, PA 17011-2205 | 7177242126408 | AZIZKHAN INTERNAL MEDICINE ASSOCIATES |
| Organization Legal Name | AZIZKHAN INTERNAL MEDICINE ASSOCIATES |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Allen Prophet | Internal Medicine | Azizkhan Internal Medicine Associates | 888 Poplar Church Rd, Camp Hill, PA 17011-2205 |
| Reza George Azizkhan | Internal Medicine | Azizkhan Internal Medicine Associates | 888 Poplar Church Rd, Camp Hill, PA 17011-2205 |
| Street Address |
888 POPLAR CHURCH RD |
| City | CAMP HILL |
| State | PA |
| Zip | 17011-2205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Allen Prophet | Internal Medicine | Azizkhan Internal Medicine Associates | 888 Poplar Church Rd, Camp Hill, PA 17011-2205 |
| Reza George Azizkhan | Internal Medicine | Azizkhan Internal Medicine Associates | 888 Poplar Church Rd, Camp Hill, PA 17011-2205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leon Salem | Vascular Surgery | Spirit Physician Services Inc | 800 Polar Church Rd, Camp Hill, PA 17011 |
| Joseph J Campbell | Vascular Surgery | Spirit Physician Services Inc | 800 Polar Church Rd, Camp Hill, PA 17011 |
| John G Calaitges | Vascular Surgery | Spirit Physician Services Inc | 800 Polar Church Rd, Camp Hill, PA 17011 |
| Robert L Kardos | Optometry | 620 N 3rd St, Harrisburg, PA 17011-1113 | |
| Maame Esi Menyah | Physician Assistant | Franklin Family Services Inc | 412 Erford Rd, Camp Hill, PA 17011-1117 |
| Erica Borrell Mcdonald | Physician Assistant | Franklin Family Services Inc | 412 Erford Rd, Camp Hill, PA 17011-1117 |
| Hazel J Brown | Clinical Psychologist | 545 Saint Johns Dr, Camp Hill, PA 17011-1333 | |
| Christopher K Holt | Optometry | Dailey Eye Associates, P.C. | 1857 Ctr St, Camp Hill, PA 17011-1703 |
| Robert George Sanford Ii | Internal Medicine | Robert G Sanford Md Alan D Roumm Md and Ravi D Acharya Md Ptr | 1845 Ctr St, Camp Hill, PA 17011-1703 |
| Todd J Harvey | Ophthalmology | Dailey Eye Associates, P.C. | 1857 Ctr St, Camp Hill, PA 17011-1703 |
| Find all physicians in zip 17011 | |||
| City | CAMP HILL |
| Zip Code | 17011 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CAMP HILL + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Supriyo U Ghosh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.