DEBABRATA GHOSH MD NPI 1356446595

NPI Information

NPI: 1356446595
Provider Name: DEBABRATA GHOSH, MD
Classification: Psychiatry & Neurology - 2084N0402X
Specialization: Neurology with Special Qualifications in Child Neurology
Entity Type: Individual
PECOS Registration: Yes
Address: 673 E RIVER ST
ELYRIA, OH
ZIP 44035
Phone: (440) 323-6422

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NPI Details

Debabrata Ghosh, MD is a neurology with special qualifications in child neurology psychiatry neurology in Elyria, OH with 34 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Debabrata Ghosh, MD NPI is 1356446595. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

673 E RIVER ST
ELYRIA, OH
ZIP 44035-935
Phone: (440) 323-6422
Fax: (440) 322-5574

The NPI 1356446595 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 5/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	308919	NEW YORK	No
2	208D00000X	General Practice		35.083532	OHIO	No
3	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	356083532	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2629114	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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