MEDICARE: DR. HINA S DOSHI MD PC

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	207R00000X	Internal Medicine Physician	HD057675	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	383619561	OTHER	PPOM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	900190509	OTHER	PALMETTO
4	C7807	OTHER	MCARE
5	F82778	OTHER	HAP
6	110F323170	OTHER	BC

General Provider Information

NPI Number	:	1508857715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HINA S DOSHI MD PC

Provider Business Mailing Address
First Line	:	PO BOX 1829
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48099-1829
Country	:	US
Telephone Number	:	248-588-4777
Fax Number	:	248-588-1241

Provider Business Practice Location Address
First Line	:	21 S MAIN ST
Second Line	:
City	:	CLAWSON
State	:	MI
Zip	:	48017-2061
Country	:	US
Telephone Number	:	248-588-4777
Fax Number	:

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

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	10/21/2010

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Directions to “ DR. HINA S DOSHI MD PC” Practice Location

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