MEDICARE: MEDHA 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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	0101263207	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174838916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEDHA JOSHI MD

Provider Business Mailing Address
First Line	:	11761 ROCK LANDING DR
Second Line	:	STE 8
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23606-4235
Country	:	US
Telephone Number	:	757-232-8769
Fax Number	:	757-232-8875

Provider Business Practice Location Address
First Line	:	4421 VIRGINIA BEACH BLVD STE 114
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-3114
Country	:	US
Telephone Number	:	757-963-1488
Fax Number	:

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

Provider Enumeration Date	:	08/17/2010
Last Update Date	:	08/05/2022

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Directions to “ MEDHA JOSHI MD” Practice Location

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