Healthcare Provider Details

I. General information

NPI: 1851502298
Provider Name (Legal Business Name): RAJAN R JOSHI PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 04/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2019 CORPORATE DR TOTAL LUNG CARE AND SLEEP CENTER
RICHMOND KY
40475-8884
US

IV. Provider business mailing address

2019 CORPORATE DR TOTAL LUNG CARE AND SLEEP CENTER
RICHMOND KY
40475-8884
US

V. Phone/Fax

Practice location:
  • Phone: 859-623-8981
  • Fax: 859-624-3146
Mailing address:
  • Phone: 859-623-8981
  • Fax: 859-624-3146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RAJAN R JOSHI
Title or Position: MD OWNER
Credential: MD
Phone: 859-623-8981