Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 036112092 | IL |
Y | 207RN0300X | Nephrologist | 52272 | WI |
NPI | 1003076597 |
---|---|
Provider Name | Dr. Leena M Joshi |
First Address | Pleasant Prairie, WI 53158-1984 |
Second Address | Pleasant Prairie, WI 53158-1984 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2008 |
Last Update Date | 02/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003076597 | (05) | WI |