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NPI Code Detail

MEDICARE: PRAKASH J DOSHI M.D.

MEDICARE:   PRAKASH J DOSHI  M.D.
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
1207R00000XInternal Medicine PhysicianMA53168NJ

General Provider Information

NPI Number : 1790733491
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRAKASH J DOSHI M.D.
Provider Business Mailing Address
First Line : 213 RIVER RD
Second Line :
City : EAST HANOVER
State : NJ
Zip : 07936-3706
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 206 BERGEN AVE
Second Line : SUITE # 201
City : KEARNY
State : NJ
Zip : 07032-3324
Country : US
Telephone Number : 201-998-7474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 10/09/2012

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