MEDICARE: AJAY KUMAR JOSHI M.D., MRCP, FACC

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	207RC0000X	Cardiovascular Disease Physician	428900	PA
2	207R00000X	Internal Medicine Physician	428900	PA
3	207R00000X	Internal Medicine Physician	A100423	CA
4	207RC0000X	Cardiovascular Disease Physician	A100423	CA
5	207RI0011X	Interventional Cardiology Physician	428900	PA
6	207RI0011X	Interventional Cardiology Physician	A100423	CA

General Provider Information

NPI Number	:	1619185584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AJAY KUMAR JOSHI M.D., MRCP, FACC

Provider Business Mailing Address
First Line	:	4921 GOLDEN FOOTHILL PKWY
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-9632
Country	:	US
Telephone Number	:	916-597-2687
Fax Number	:	916-932-4442

Provider Business Practice Location Address
First Line	:	4921 GOLDEN FOOTHILL PKWY
Second Line	:
City	:	EL DORADO HILLS
State	:	CA
Zip	:	95762-9632
Country	:	US
Telephone Number	:	916-597-2687
Fax Number	:	916-932-4442

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	08/17/2022

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