Provider Demographics
NPI:1578988036
Name:JAYSHREE JOSHI M.D A.PROF .CO
Entity Type:Organization
Organization Name:JAYSHREE JOSHI M.D A.PROF .CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAYASHREE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-946-1878
Mailing Address - Street 1:246 RANCH DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5107
Mailing Address - Country:US
Mailing Address - Phone:408-946-1878
Mailing Address - Fax:
Practice Address - Street 1:246 RANCH DR
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5107
Practice Address - Country:US
Practice Address - Phone:408-946-1878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAYSHREE JOSHI M.D A.PROF .CO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-20
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty