Provider Demographics
NPI:1104826239
Name:JOSHI, RAJAN R (MD)
Entity Type:Individual
Prefix:
First Name:RAJAN
Middle Name:R
Last Name:JOSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RAJAN
Other - Middle Name:R
Other - Last Name:JOSHI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSC
Mailing Address - Street 1:2019 CORPORATE DR
Mailing Address - Street 2:TOTAL LUNG CARE AND SLEEP CENTER
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8884
Mailing Address - Country:US
Mailing Address - Phone:859-623-8981
Mailing Address - Fax:859-624-3146
Practice Address - Street 1:2019 CORPORATE DR
Practice Address - Street 2:TOTAL LUNG CARE AND SLEEP CENTER
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-8884
Practice Address - Country:US
Practice Address - Phone:859-623-8981
Practice Address - Fax:859-624-3146
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2018-09-24
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-03-29
Provider Licenses
StateLicense IDTaxonomies
KY23841207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000069391OtherANTHEM
KY64238413Medicaid
KY290013605OtherMEDICARE RAILROAD
KYC75355Medicare UPIN
KY64238413Medicaid