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NPI Code Detail

MEDICARE: DR. JOSHUA J UNDERHILL MD

MEDICARE: DR. JOSHUA J UNDERHILL 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
1208000000XPediatrics Physician01069630AIN
2208000000XPediatrics Physician036-099663IL
3208000000XPediatrics Physician4301076217MI

Other Identifiers

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

General Provider Information

NPI Number : 1245269778
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSHUA J UNDERHILL MD
Provider Business Mailing Address
First Line : PO BOX 485
Second Line :
City : NEW CASTLE
State : IN
Zip : 47362-0485
Country : US
Telephone Number : 765-521-1516
Fax Number : 765-599-3131
Provider Business Practice Location Address
First Line : 152 WITTENBRAKER AVE
Second Line :
City : NEW CASTLE
State : IN
Zip : 47362-5000
Country : US
Telephone Number : 765-599-3100
Fax Number : 765-518-5365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 02/21/2024

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