Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 86076 | GA |
NPI | 1124467709 |
---|---|
Provider Name | Dr. Mehulkumar Joshi |
First Address | Johns Creek, GA 30097-2461 |
Second Address | Johns Creek, GA 30097-2461 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2013 |
Last Update Date | 13/10/2020 |