=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295998482
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ARPAN RAMESHCHANDRA DOSHI M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2008
-----------------------------------------------------
Last Update Date | 12/13/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2955 HARRISON ST STE 100
-----------------------------------------------------
City | BEAUMONT
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77702-1155
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 409-234-0934
-----------------------------------------------------
Fax | 409-234-2934
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2955 HARRISON ST STE 100
-----------------------------------------------------
City | BEAUMONT
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77702-1155
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 409-234-0934
-----------------------------------------------------
Fax | 92-342-9344
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2080P0202X
-----------------------------------------------------
Taxonomy Name | Pediatric Cardiology Physician
-----------------------------------------------------
License Number | 04-37647
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2080P0202X
-----------------------------------------------------
Taxonomy Name | Pediatric Cardiology Physician
-----------------------------------------------------
License Number | 2014039522
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 2080P0202X
-----------------------------------------------------
Taxonomy Name | Pediatric Cardiology Physician
-----------------------------------------------------
License Number | P0376
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------