Healthcare Provider Details

I. General information

NPI: 1881602563
Provider Name (Legal Business Name): SHOBHNA R. JOSHI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 06/24/2011
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 TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number23842
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: