Provider Demographics
NPI:1083612287
Name:JOSHI, CYRUS K (MD)
Entity Type:Individual
Prefix:DR
First Name:CYRUS
Middle Name:K
Last Name:JOSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 E LEWIS AND CLARK PKWY
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47129-1711
Mailing Address - Country:US
Mailing Address - Phone:812-981-7900
Mailing Address - Fax:812-981-7042
Practice Address - Street 1:207 E LEWIS AND CLARK PKWY
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47129-1711
Practice Address - Country:US
Practice Address - Phone:812-981-7900
Practice Address - Fax:812-981-7042
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01049844A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200737746OtherTAX ID
IN200251490Medicaid
ING48666Medicare UPIN
IN200251490Medicaid