Soma Ghosh, MD | |
888 Swift Blvd, Richland, WA 99352-3514 | |
(509) 946-4611 | |
(509) 942-3128 |
Full Name | Soma Ghosh |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 888 Swift Blvd, Richland, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629336169 | NPI | - | NPPES |
2048243 | Medicaid | WA | |
500692779 | Other | WA | DMAP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD60591410 (Washington) | Primary |
Entity Name | Kadlec Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972507580 PECOS PAC ID: 9739098617 Enrollment ID: O20031104000035 |
Entity Name | Yakima Valley Memorial Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306933940 PECOS PAC ID: 1557391596 Enrollment ID: O20050818000714 |
Mailing Address | Practice Location Address |
---|---|
Soma Ghosh, MD 560 Gage Blvd, Suite 203, Richland, WA 99352-8650 Ph: (509) 942-3627 | Soma Ghosh, MD 888 Swift Blvd, Richland, WA 99352-3514 Ph: (509) 946-4611 |
Frances Dernbach, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 925 Stevens Dr, Ste. 3a, Richland, WA 99352 Phone: 509-946-6565 Fax: 509-946-0998 | |
Phat P Pham, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 112 Columbia Point Dr Ste 103, Richland, WA 99352 Phone: 509-747-6707 | |
Nitish Jagpal, Pediatrics Medicare: Medicare Enrolled Practice Location: 829 Goethals Dr, Richland, WA 99352 Phone: 509-547-2204 Fax: 509-542-8836 | |
Stephanie M Charron, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1135 Jadwick Ave, Richland, WA 99352 Phone: 509-942-3300 Fax: 509-946-1868 | |
Mrs. Julie A Raekes, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 945 Goethals Dr Ste 300, Richland, WA 99352 Phone: 509-943-3196 Fax: 509-946-0455 | |
Dr. Santhosh Theyyil Somashekar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2185 | |
Dr. Ronald Henry Wojnas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1445 Spaulding Ave, Richland, WA 99352 Phone: 509-420-0423 |