Provider Demographics
NPI:1508857715
Name:DOSHI, HINA S (MD PC)
Entity Type:Individual
Prefix:DR
First Name:HINA
Middle Name:S
Last Name:DOSHI
Suffix:
Gender:F
Credentials:MD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1829
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48099-1829
Mailing Address - Country:US
Mailing Address - Phone:248-588-4777
Mailing Address - Fax:248-588-1241
Practice Address - Street 1:21 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CLAWSON
Practice Address - State:MI
Practice Address - Zip Code:48017-2061
Practice Address - Country:US
Practice Address - Phone:248-588-4777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIHD057675207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
383619561OtherPPOM
MI4576087Medicaid
900190509OtherPALMETTO
C7807OtherMCARE
F82778OtherHAP
110F323170OtherBC
ON20740001Medicare ID - Type Unspecified
C7807OtherMCARE