Provider Demographics
NPI:1154946317
Name:GHOSH, SMARAJITA (MD)
Entity type:Individual
Prefix:DR
First Name:SMARAJITA
Middle Name:
Last Name:GHOSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-2934
Mailing Address - Country:US
Mailing Address - Phone:215-997-0890
Mailing Address - Fax:
Practice Address - Street 1:1700 HORIZON DR STE 203
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3906
Practice Address - Country:US
Practice Address - Phone:215-997-0890
Practice Address - Fax:215-997-9652
Is Sole Proprietor?:No
Enumeration Date:2020-06-13
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD481817207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine