Basic Information
Provider Information
NPI: 1023340510
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JOSHI
FirstName: HETVI
MiddleName: KIRITKUMAR
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 105 W STONE DR STE 6A
Address2:  
City: KINGSPORT
State: TN
PostalCode: 376603256
CountryCode: US
TelephoneNumber: 4234087220
FaxNumber: 4234087405
Practice Location
Address1: 130 W RAVINE RD
Address2:  
City: KINGSPORT
State: TN
PostalCode: 376603837
CountryCode: US
TelephoneNumber: 4232243628
FaxNumber: 4232308502
Other Information
ProviderEnumerationDate: 02/08/2010
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X50228TNN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X50228TNY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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