Provider Demographics
NPI:1083697817
Name:JOSHI, PIYUSH N (MD)
Entity Type:Individual
Prefix:
First Name:PIYUSH
Middle Name:N
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 1:2065 HIGHWAY A1A APT 1701
Mailing Address - Street 2:
Mailing Address - City:INDIAN HARBOUR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-1812
Mailing Address - Country:US
Mailing Address - Phone:321-426-9331
Mailing Address - Fax:321-426-9331
Practice Address - Street 1:14430 US HIGHWAY 1
Practice Address - Street 2:SUITE 103
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-3289
Practice Address - Country:US
Practice Address - Phone:772-589-8283
Practice Address - Fax:772-589-8284
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-25
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME92198208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271607100Medicaid
FL271607100Medicaid