Basic Information
Provider Information
NPI: 1023200714
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JOSHI
FirstName: ADITI
MiddleName: U
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1020 SANSOM STREET
Address2: SUITE 239
City: PHILADELPHIA
State: PA
PostalCode: 191075002
CountryCode: US
TelephoneNumber: 2159556844
FaxNumber: 2159552526
Practice Location
Address1: 1020 SANSOM STREET
Address2: SUITE 239
City: PHILADELPHIA
State: PA
PostalCode: 191075002
CountryCode: US
TelephoneNumber: 2159556844
FaxNumber: 2159552526
Other Information
ProviderEnumerationDate: 08/16/2007
LastUpdateDate: 09/14/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XPGY.1-EKLLAN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000XMD453506PAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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