Basic Information
| Provider Information | |||||||||
| NPI: | 1245984962 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DOSHI | ||||||||
| FirstName: | DIXITA | ||||||||
| MiddleName: | PRADEEP | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | I | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8618 NE 201ST PL | ||||||||
| Address2: | |||||||||
| City: | BOTHELL | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980112280 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9178257501 | ||||||||
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| Practice Location | |||||||||
| Address1: | 12806 BOTHELL EVERETT HWY | ||||||||
| Address2: | |||||||||
| City: | EVERETT | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982086692 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4253383227 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/10/2022 | ||||||||
| LastUpdateDate: | 02/10/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT60479200 | WA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.