Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | G55251 | CA |
N | 207QA0401X | Family Doctor - Addiction Medicine | 6434 | HI |
NPI | 1033203740 |
---|---|
Provider Name | Madhup Joshi |
First Address | Chico, CA 95926-2213 |
Second Address | Chico, CA 95926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 01/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C46662 | (02) |