Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | A79465 | CA |
NPI | 1053325761 |
---|---|
Provider Name | Dipti Doshi |
First Address | Cerritos, CA 90703-2750 |
Second Address | Cerritos, CA 90703-2750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 20/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0361127361 | (05) | IL |
102474 | HEALTH ALLIANCE (01) | IL |
472308 | HEALTHLINK (01) | IL |
7215059 | BCBS PPO (01) | IL |
I24563 | (02) | IL |
IL01T7 | JOHN DEERE (01) | IL |
P00281866 | RAILROAD MEDICARE (01) | IL |