Healthcare Provider Details

I. General information

NPI: 1659564862
Provider Name (Legal Business Name): SUNIR JOSHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2007
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 HILLANDALE DR STE 130
LITHONIA GA
30058-4860
US

IV. Provider business mailing address

2900 W CYPRESS CREEK RD SUITE 4
FT LAUDERDALE FL
33309-1715
US

V. Phone/Fax

Practice location:
  • Phone: 678-892-2020
  • Fax: 770-593-3461
Mailing address:
  • Phone: 954-917-2337
  • Fax: 954-917-2962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number99037
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: