Basic Information
| Provider Information | |||||||||
| NPI: | 1699930933 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JOSHI | ||||||||
| FirstName: | PRACHI | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 608 PINE VALLEY LN | ||||||||
| Address2: | APT 201 | ||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436158200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5672773594 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2200 JEFFERSON AVE | ||||||||
| Address2: | |||||||||
| City: | TOLEDO | ||||||||
| State: | OH | ||||||||
| PostalCode: | 436047101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4192511400 | ||||||||
| FaxNumber: | 4192511797 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2008 | ||||||||
| LastUpdateDate: | 07/25/2008 | ||||||||
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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 | 390200000X | 57.012822 | OH | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.