Basic Information
Provider Information
NPI: 1477849800
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JOSHI
FirstName: RACHNA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 2201 CHAPEL AVE W
Address2:  
City: CHERRY HILL
State: NJ
PostalCode: 080022048
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2201 CHAPEL AVE W
Address2:  
City: CHERRY HILL
State: NJ
PostalCode: 080022048
CountryCode: US
TelephoneNumber: 8564886500
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/23/2011
LastUpdateDate: 03/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X25MA09524600NJY Allopathic & Osteopathic PhysiciansHospitalist 
204R00000X25MA09524600NJN Allopathic & Osteopathic PhysiciansElectrodiagnostic Medicine 
207R00000X25MA09524600NJN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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