Provider Demographics
NPI:1053325761
Name:DOSHI, DIPTI (MD)
Entity Type:Individual
Prefix:
First Name:DIPTI
Middle Name:
Last Name:DOSHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17100 NORWALK BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-2750
Mailing Address - Country:US
Mailing Address - Phone:562-229-4360
Mailing Address - Fax:562-606-0150
Practice Address - Street 1:17100 NORWALK BLVD
Practice Address - Street 2:STE 101
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-2750
Practice Address - Country:US
Practice Address - Phone:562-860-2111
Practice Address - Fax:562-860-5959
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA79465207RR0500X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL472308OtherHEALTHLINK
ILP00281866OtherRAILROAD MEDICARE
IL0361127361Medicaid
IL102474OtherHEALTH ALLIANCE
ILIL01T7OtherJOHN DEERE
IL7215059OtherBCBS PPO
ILK14350Medicare ID - Type Unspecified
IL102474OtherHEALTH ALLIANCE
ILIL01T7OtherJOHN DEERE