Provider Demographics
NPI:1417301987
Name:DOSHI, NIVEDITA (MD)
Entity Type:Individual
Prefix:
First Name:NIVEDITA
Middle Name:
Last Name:DOSHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NIVEDITA
Other - Middle Name:
Other - Last Name:YADAV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1800 N. CALIFORNIA ST.
Mailing Address - Street 2:3 MAIN
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95204
Mailing Address - Country:US
Mailing Address - Phone:209-547-5741
Mailing Address - Fax:209-461-3295
Practice Address - Street 1:1800 N. CALIFORNIA ST.
Practice Address - Street 2:3 MAIN
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95204
Practice Address - Country:US
Practice Address - Phone:209-547-5741
Practice Address - Fax:209-461-3295
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA161032207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine