Provider Demographics
NPI:1508560210
Name:CASKEY, JOSHUA RAY (MD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:RAY
Last Name:CASKEY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:22250 PROVIDENCE DRIVE
Mailing Address - Street 2:6 PMB SUITE #601
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4818
Mailing Address - Country:US
Mailing Address - Phone:248-569-7745
Mailing Address - Fax:248-569-4539
Practice Address - Street 1:22250 PROVIDENCE DRIVE
Practice Address - Street 2:6 PMB SUITE #601
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4818
Practice Address - Country:US
Practice Address - Phone:248-569-7745
Practice Address - Fax:248-569-4539
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-05-03
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Provider Licenses
StateLicense IDTaxonomies
MI4351050824207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery