Healthcare Provider Details

I. General information

NPI: 1922063619
Provider Name (Legal Business Name): ASHOK DHIRAJLAL JOSHI MB BS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 03/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 GRAND AVE
CORAL GABLES FL
33133-4841
US

IV. Provider business mailing address

215 GRAND AVE
CORAL GABLES FL
33133-4841
US

V. Phone/Fax

Practice location:
  • Phone: 305-441-7179
  • Fax: 305-448-7134
Mailing address:
  • Phone: 305-441-7179
  • Fax: 305-448-7134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberME37232
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: