Provider Demographics
NPI:1568044105
Name:DOSHI, DHWANI KAMLESH (PT)
Entity Type:Individual
Prefix:MISS
First Name:DHWANI KAMLESH
Middle Name:
Last Name:DOSHI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 SAINT PAULS AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-5009
Mailing Address - Country:US
Mailing Address - Phone:412-961-1773
Mailing Address - Fax:
Practice Address - Street 1:1609 N PRINCE ST
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:NM
Practice Address - Zip Code:88101-4850
Practice Address - Country:US
Practice Address - Phone:575-935-0360
Practice Address - Fax:575-935-0361
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-23
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1338252225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty