Provider Demographics
NPI:1588617948
Name:DOSHI, USHA (MD)
Entity Type:Individual
Prefix:
First Name:USHA
Middle Name:
Last Name:DOSHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MAYNARD CROSSING CT
Mailing Address - Street 2:N/A
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8723
Mailing Address - Country:US
Mailing Address - Phone:919-961-4567
Mailing Address - Fax:919-651-0871
Practice Address - Street 1:101 MAYNARD CROSSING CT
Practice Address - Street 2:N/A
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8723
Practice Address - Country:US
Practice Address - Phone:919-961-4567
Practice Address - Fax:919-651-0871
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC299102080N0001X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCH32178Medicare UPIN