MEDICARE: DR. TANVI VINAYAK JOSHI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MT215075	PA
2	207VX0201X	Gynecologic Oncology Physician	MT215075	PA
3	207V00000X	Obstetrics & Gynecology Physician	MD.44867	AL

General Provider Information

NPI Number	:	1083107924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TANVI VINAYAK JOSHI MD

Provider Business Mailing Address
First Line	:	PO BOX 746450
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6450
Country	:	US
Telephone Number	:	866-401-3057
Fax Number	:	318-868-6430

Provider Business Practice Location Address
First Line	:	5053 WOOSTER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45226-2326
Country	:	US
Telephone Number	:	888-961-4131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2018
Last Update Date	:	06/30/2025

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