Provider Demographics
NPI:1598038150
Name:DOSHI, PALAK
Entity Type:Individual
Prefix:
First Name:PALAK
Middle Name:
Last Name:DOSHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 IDLEWILD AVE
Mailing Address - Street 2:STE 3
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-3834
Mailing Address - Country:US
Mailing Address - Phone:410-820-4888
Mailing Address - Fax:
Practice Address - Street 1:508 IDLEWILD AVE
Practice Address - Street 2:STE 3
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3834
Practice Address - Country:US
Practice Address - Phone:410-820-4888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-13
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA067557207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology