Provider Demographics
NPI:1093831133
Name:DOSHI, TUSHAR RAMNIK (MD)
Entity Type:Individual
Prefix:DR
First Name:TUSHAR
Middle Name:RAMNIK
Last Name:DOSHI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 954
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92247-0954
Mailing Address - Country:US
Mailing Address - Phone:760-399-2201
Mailing Address - Fax:760-564-9331
Practice Address - Street 1:3200 INLAND EMPIRE BLVD
Practice Address - Street 2:SUITE 200 A
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-5513
Practice Address - Country:US
Practice Address - Phone:909-373-2412
Practice Address - Fax:909-373-2417
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA53572207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF90623Medicare UPIN