Provider Demographics
NPI:1518970516
Name:JOSHI, KISHOR E (MD)
Entity Type:Individual
Prefix:DR
First Name:KISHOR
Middle Name:E
Last Name:JOSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:25 HIGHLAND PARK DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-8402
Mailing Address - Country:US
Mailing Address - Phone:724-438-3040
Mailing Address - Fax:724-438-7127
Practice Address - Street 1:25 HIGHLAND PARK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-8402
Practice Address - Country:US
Practice Address - Phone:724-438-3040
Practice Address - Fax:724-438-7127
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD034011L207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE55481Medicare UPIN
PA127185H90Medicare PIN