Healthcare Provider Details

I. General information

NPI: 1568738102
Provider Name (Legal Business Name): NIKHIL VIJAY JOSHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2012
Last Update Date: 12/21/2021
Certification Date: 03/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2ND FLOOR, DEPT 21 1263 E ARQUES AVE
SUNNYVALE CA
94085
US

IV. Provider business mailing address

2ND FLOOR, DEPT 21 1263 EAST ARQUES AVE
SUNNYVALE CA
94085
US

V. Phone/Fax

Practice location:
  • Phone: 408-530-6800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number141446
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: