Healthcare Provider Details

I. General information

NPI: 1174899793
Provider Name (Legal Business Name): BHAVYA DOSHI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2012
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EMORY CHILDREN'S CENTER 2015 UPPERGATE DR NE ROOM 440
ATLANTA GA
30322-0001
US

IV. Provider business mailing address

EMORY CHILDREN'S CENTER 2015 UPPERGATE DR NE ROOM 440
ATLANTA GA
30322-0001
US

V. Phone/Fax

Practice location:
  • Phone: 404-712-2424
  • Fax: 404-727-4455
Mailing address:
  • Phone: 404-712-2424
  • Fax: 404-727-4455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberMD454435
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number102724
License Number StateGA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1034760160001
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: