1720123268 NPI number — DR. ABHAY N DOSHI

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720123268 NPI number — DR. ABHAY N DOSHI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DOSHI
Provider First Name:
ABHAY
Provider Middle Name:
N
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DOSHI
Provider Other First Name:
A
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DENTAL CORP
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1720123268
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 5597
Provider Second Line Business Mailing Address:
A DOSHI DENTAL CORP DBA HIGH SIERRA DENTAL
Provider Business Mailing Address City Name:
FRESNO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93755
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-224-3110
Provider Business Mailing Address Fax Number:
559-227-7752

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4820 N FIRST ST
Provider Second Line Business Practice Location Address:
# 105 A DOSHI DENTAL CORP DBA HIGH SIERRA DENTAL
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-224-3110
Provider Business Practice Location Address Fax Number:
559-227-7752
Provider Enumeration Date:
02/21/2007

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: 122300000X , with the licence number:  41602 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 1223G0001X , with the licence number: 41602 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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

  • Identifier: 523305 . This is a "PIN" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: G9387401 . This is a "DENTI CAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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