Provider Demographics
NPI:1376537829
Name:JOSHI, ANITA (MD)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:JOSHI
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1901 LAFAYETTE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CRAWFORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47933-1098
Mailing Address - Country:US
Mailing Address - Phone:765-361-3086
Mailing Address - Fax:765-361-3088
Practice Address - Street 1:1901 LAFAYETTE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CRAWFORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47933-1098
Practice Address - Country:US
Practice Address - Phone:765-361-3086
Practice Address - Fax:765-361-3088
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01049312208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
ING88926Medicare UPIN