Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 053562 | GA |
NPI | 1063440451 |
---|---|
Provider Name | Dr. Biren Joshi |
First Address | Decatur, GA 30030-1712 |
Second Address | Lawrenceville, GA 30046-8762 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 01/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H17549 | (02) | GA |
H-17549 | (02) | GA |