MEDICARE: KAVITA JOSHI 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
1	207R00000X	Internal Medicine Physician	040673	CT

Other Identifiers

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

General Provider Information

NPI Number	:	1881654291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAVITA JOSHI M.D.

Provider Business Mailing Address
First Line	:	9 TWINBROOK DR
Second Line	:
City	:	WOODBRIDGE
State	:	CT
Zip	:	06525-2042
Country	:	US
Telephone Number	:	203-606-5951
Fax Number	:	203-371-8006

Provider Business Practice Location Address
First Line	:	115 TECHNOLOGY DR
Second Line	:	SUITE B100
City	:	TRUMBULL
State	:	CT
Zip	:	06611-6337
Country	:	US
Telephone Number	:	203-606-5951
Fax Number	:	203-371-8006

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

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	06/10/2015

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Directions to “ KAVITA JOSHI M.D.” Practice Location

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