Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 002429 | GA |
N | 111NI0900X | Internist | 002429 | GA |
N | 207RC0000X | Internist - Cardiovascular Disease | 46399 | TN |
N | 207RG0300X | Geriatric Medicine | 036132468 | IL |
NPI | 1093912487 |
---|---|
Provider Name | Anjalie Julie Joshi |
First Address | Columbia, TN 38401-8642 |
Second Address | Tullahoma, TN 37388-8259 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2007 |
Last Update Date | 23/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002429 | RTP NUMBER (01) | GA |
1521786 | (05) | TN |
4275175 | BCBST (01) | TN |
7100133780 | (05) | KY |