Basic Information
Provider Information
NPI: 1578781837
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JOSHI
FirstName: NAMRATA
MiddleName: N
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12404 BENJAMIN HILL LN
Address2:  
City: FAIRFAX
State: VA
PostalCode: 220334271
CountryCode: US
TelephoneNumber: 7032773347
FaxNumber:  
Practice Location
Address1: 140 W 11TH ST
Address2:  
City: FRONT ROYAL
State: VA
PostalCode: 226303512
CountryCode: US
TelephoneNumber: 5406313700
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/23/2007
LastUpdateDate: 12/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X0101240868VAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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