MEDICARE: TRUSHA DOSHI

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	122300000X	Dentist	38128	TX

General Provider Information

NPI Number	:	1750098471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRUSHA DOSHI

Provider Business Mailing Address
First Line	:	31 RIVER CT APT 103
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07310-2014
Country	:	US
Telephone Number	:	570-867-3035
Fax Number	:

Provider Business Practice Location Address
First Line	:	12589 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-5807
Country	:	US
Telephone Number	:	713-325-5183
Fax Number	:

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

Provider Enumeration Date	:	11/02/2022
Last Update Date	:	11/02/2022

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