Basic Information
| Provider Information | |||||||||
| NPI: | 1841560745 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JOSHI | ||||||||
| FirstName: | ROHAN | ||||||||
| MiddleName: | RAJIV | ||||||||
| NamePrefix: | MR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2280 GULF FWY S | ||||||||
| Address2: | STE 2.1600 | ||||||||
| City: | LEAGUE CITY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775735143 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2123053399 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2280 GULF FWY S STE 2.1600 | ||||||||
| Address2: | |||||||||
| City: | LEAGUE CITY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775735143 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8325054000 | ||||||||
| FaxNumber: | 8325054040 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/09/2012 | ||||||||
| LastUpdateDate: | 11/09/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/09/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 47175 | TX | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Otolaryngology | 207Y00000X | 46875 | TX | N | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.