Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0201X | Internist - Allergy & Immunology | 49160 | MN |
N | 208000000X | Pediatrician | 102795 | MN |
N | 208000000X | Pediatrician | 49160 | MN |
Y | 2080P0201X | Pediatric Allergist | 49160 | MN |
NPI | 1932286556 |
---|---|
Provider Name | Avni Y Joshi |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 14/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I63261 | (02) |