MEDICARE: PRADIP JOSHI

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	213E00000X	Podiatrist	N004753	NY

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

General Provider Information

NPI Number	:	1134205867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRADIP JOSHI

Provider Business Mailing Address
First Line	:	1749 GRAND CONCOURSE OFC A
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10453-8250
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1749 GRAND CONCOURSE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10453-8241
Country	:	US
Telephone Number	:	347-577-0280
Fax Number	:	347-577-0281

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

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	03/26/2020

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Directions to “ PRADIP JOSHI ” Practice Location

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