Provider Demographics
NPI:1063677946
Name:DOSHI, TARAL (MD)
Entity Type:Individual
Prefix:DR
First Name:TARAL
Middle Name:
Last Name:DOSHI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5841 S MARYLAND AVE
Mailing Address - Street 2:MC 2026 - U. OF CHICAGO DEPARTMENT OF RADIOLOGY
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-1447
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5841 S MARYLAND AVE
Practice Address - Street 2:MC 2026 - U. OF CHICAGO DEPARTMENT OF RADIOLOGY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1447
Practice Address - Country:US
Practice Address - Phone:773-702-3550
Practice Address - Fax:773-834-6237
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.1274812085R0202X
IL0361274812085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology