Provider Demographics
NPI:1407567258
Name:JOSHI INTEGRATED CLINIC LLC
Entity Type:Organization
Organization Name:JOSHI INTEGRATED CLINIC LLC
Other - Org Name:ARROWHEAD MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DHANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHRIMALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-300-8651
Mailing Address - Street 1:7100 W GRANDVIEW RD APT 1020
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-4903
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7100 W GRANDVIEW RD APT 1020
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-4903
Practice Address - Country:US
Practice Address - Phone:602-300-8651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-12
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty