Basic Information
| Provider Information | |||||||||
| NPI: | 1154424372 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DOSHI | ||||||||
| FirstName: | NITINKUMAR | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6919 N DALE MABRY HWY STE 250 | ||||||||
| Address2: | |||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336143860 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8139354210 | ||||||||
| FaxNumber: | 8139327940 | ||||||||
| Practice Location | |||||||||
| Address1: | 6919 N DALE MABRY HWY STE 210 | ||||||||
| Address2: | |||||||||
| City: | TAMPA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 336143972 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8135584900 | ||||||||
| FaxNumber: | 8135582155 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/06/2006 | ||||||||
| LastUpdateDate: | 04/07/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/07/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 11651220-1205 | UT | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 61263 | TN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 42.0014984 | VT | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 13082C | WY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 61044640 | WA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 2020-00165 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 28242 | MS | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 0101240287 | VA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 39187 | AL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 60578 | AZ | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 36.151781 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | EMC0000175 | MI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 66835 | MN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | ME144146 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 106585200 | 05 | FL | MEDICAID | 418582000 | 05 | MD | MEDICAID |