Provider Demographics
NPI:1114370681
Name:JOSHI, AKANKSHA GAUR (DMD)
Entity Type:Individual
Prefix:DR
First Name:AKANKSHA
Middle Name:GAUR
Last Name:JOSHI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:AKANKSHA
Other - Middle Name:M
Other - Last Name:GAUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3126 WHEATON WAY
Mailing Address - Street 2:APT # D
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-7116
Mailing Address - Country:US
Mailing Address - Phone:503-927-0288
Mailing Address - Fax:
Practice Address - Street 1:140 THOMAS JOHNSON DR
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4475
Practice Address - Country:US
Practice Address - Phone:503-927-0288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD160721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice