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NPI 1316332497 · live from the CMS NPI Registry

Moyukh Ghosh, M.D.

Internal Medicine, Cardiovascular Disease in Portland, OR. National Provider Identifier 1316332497, active.

NPI record

NPI1316332497 Type 1 · individual
StatusActive
Primary specialtyInternal Medicine, Cardiovascular Disease 207RC0000X
Practice location3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Practice phone503-494-1775
EnumeratedApril 5, 2015
Last updatedJune 17, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine, Cardiovascular Disease primary207RC0000XMD229557 (OR)
Internal Medicine, Cardiovascular Disease207RC0000X173575 (AK)
Internal Medicine, Cardiovascular Disease207RC0000XA144868 (CA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.