Provider Demographics
NPI:1023374527
Name:JOSHIPURA, MOHIT Y
Entity Type:Individual
Prefix:DR
First Name:MOHIT
Middle Name:Y
Last Name:JOSHIPURA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 RIALTO DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-0152
Mailing Address - Country:US
Mailing Address - Phone:832-466-3398
Mailing Address - Fax:
Practice Address - Street 1:3121 DIABLO AVE
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-2701
Practice Address - Country:US
Practice Address - Phone:833-860-1057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ0470207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX423624YNGSMedicare PIN
TX423624YL7AMedicare PIN
TX423624YL7BMedicare PIN