Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 18004295A | IN |
N | 152W00000X | Optometrist | 2428 | NC |
NPI | 1013302769 |
---|---|
Provider Name | Priya R Joshi |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Salisbury, NC 28144-2515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2015 |
Last Update Date | 22/09/2021 |