Basic Information
Provider Information
NPI: 1811193196
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOSHI
FirstName: HARDIK
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 HAWKINS DR
Address2: E315 GH
City: IOWA CITY
State: IA
PostalCode: 522421007
CountryCode: US
TelephoneNumber: 3193848001
FaxNumber:  
Practice Location
Address1: 1200 6TH AVE N
Address2:  
City: SAINT CLOUD
State: MN
PostalCode: 563032735
CountryCode: US
TelephoneNumber: 3202512700
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/25/2007
LastUpdateDate: 05/06/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X125052766ILN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X39621IAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0001X39621IAN Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
207RC0001X63719MNY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology

No ID Information.


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