Provider Demographics
NPI:1356634901
Name:JOSHI, JEET D (MD)
Entity Type:Individual
Prefix:
First Name:JEET
Middle Name:D
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 1:314 E MAIN ST STE 403
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-7182
Mailing Address - Country:US
Mailing Address - Phone:302-983-2646
Mailing Address - Fax:302-369-3093
Practice Address - Street 1:314 E MAIN ST STE 403
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-7182
Practice Address - Country:US
Practice Address - Phone:302-983-2646
Practice Address - Fax:302-369-3093
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-00115382084P0800X
KY479382084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry