Healthcare Provider Details

I. General information

NPI: 1578781837
Provider Name (Legal Business Name): NAMRATA N JOSHI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 12/14/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 W 11TH ST
FRONT ROYAL VA
22630-3512
US

IV. Provider business mailing address

12404 BENJAMIN HILL LN
FAIRFAX VA
22033-4271
US

V. Phone/Fax

Practice location:
  • Phone: 540-631-3700
  • Fax:
Mailing address:
  • Phone: 703-277-3347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101240868
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: