Provider Demographics
NPI:1992873988
Name:GHOSH, TISTA SHILPI (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:TISTA
Middle Name:SHILPI
Last Name:GHOSH
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:6162 S. WILLOW DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5114
Mailing Address - Country:US
Mailing Address - Phone:303-220-9200
Mailing Address - Fax:303-220-9208
Practice Address - Street 1:7000 E BELLEVIEW AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1617
Practice Address - Country:US
Practice Address - Phone:303-846-6282
Practice Address - Fax:303-220-9208
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2010-09-27
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Provider Licenses
StateLicense IDTaxonomies
CO42799207R00000X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine