MEDICARE: PIYUSH N. JOSHI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	ME92198	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083697817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PIYUSH N. JOSHI MD

Provider Business Mailing Address
First Line	:	2065 HIGHWAY A1A APT 1701
Second Line	:
City	:	INDIAN HARBOUR BEACH
State	:	FL
Zip	:	32937-1812
Country	:	US
Telephone Number	:	321-426-9331
Fax Number	:	321-426-9331

Provider Business Practice Location Address
First Line	:	14430 US HIGHWAY 1
Second Line	:	SUITE 103
City	:	SEBASTIAN
State	:	FL
Zip	:	32958-3289
Country	:	US
Telephone Number	:	772-589-8283
Fax Number	:	772-589-8284

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2005
Last Update Date	:	03/15/2011

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