1245248095 NPI number — SEEMA JOSHI MD

Table of content: SEEMA JOSHI MD (NPI 1245248095)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245248095 NPI number — SEEMA JOSHI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOSHI
Provider First Name:
SEEMA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245248095
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/13/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4101 S 4TH ST
Provider Second Line Business Mailing Address:
DWIGHT D. EISENHOWER VA MEDICAL CENTER
Provider Business Mailing Address City Name:
LEAVENWORTH
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66048-5014
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-682-2000
Provider Business Mailing Address Fax Number:
913-758-4181

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4101 S 4TH ST
Provider Second Line Business Practice Location Address:
DWIGHT D. EISENHOWER VA MEDICAL CENTER
Provider Business Practice Location Address City Name:
LEAVENWORTH
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66048-5014
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-682-2000
Provider Business Practice Location Address Fax Number:
913-758-4181
Provider Enumeration Date:
08/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0300X , with the licence number:  2003005869 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 13266 . This is a "ESSENCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 716484 . This is a "HEALTHLINK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 107087 . This is a "HEALTH ALLIANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 207210303 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 245286 . This is a "GROUP HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3991004 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 199661 . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".




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