Basic Information
| Provider Information | |||||||||
| NPI: | 1245248095 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JOSHI | ||||||||
| FirstName: | SEEMA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4101 S 4TH ST | ||||||||
| Address2: | DWIGHT D. EISENHOWER VA MEDICAL CENTER | ||||||||
| City: | LEAVENWORTH | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660485014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9136822000 | ||||||||
| FaxNumber: | 9137584181 | ||||||||
| Practice Location | |||||||||
| Address1: | 4101 S 4TH ST | ||||||||
| Address2: | DWIGHT D. EISENHOWER VA MEDICAL CENTER | ||||||||
| City: | LEAVENWORTH | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660485014 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9136822000 | ||||||||
| FaxNumber: | 9137584181 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/04/2006 | ||||||||
| LastUpdateDate: | 02/13/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0300X | 2003005869 | MO | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine |
ID Information
| ID | Type | State | Issuer | Description | 13266 | 01 | ESSENCE | OTHER | 716484 | 01 | HEALTHLINK | OTHER | 107087 | 01 | HEALTH ALLIANCE | OTHER | 207210303 | 05 | MO | MEDICAID | 245286 | 01 | GROUP HEALTH PLAN | OTHER | 3991004 | 01 | AETNA | OTHER | 199661 | 01 | BLUE CROSS BLUE SHIELD | OTHER |