IndividualActive
Debolina Ghosh
NPI 1417709668 · Neurology with Special Qualifications in Child Neurology Physician · Philadelphia, PA
Provider details
- NPI number
- 1417709668
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense MT235215 (PA)
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-1220
Approximate (ZIP-level) locationGet directions
Mailing address
10900 Euclid Ave
Cleveland, OH 44106-1712
Registry dates
- Enumerated
- 2024-04-02
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.