Provider Demographics
NPI:1609181445
Name:JOSHI, RAHUL (DDS)
Entity Type:Individual
Prefix:
First Name:RAHUL
Middle Name:
Last Name:JOSHI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16226 N CAVE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2917
Mailing Address - Country:US
Mailing Address - Phone:602-867-8837
Mailing Address - Fax:602-867-2720
Practice Address - Street 1:16226 N CAVE CREEK RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2917
Practice Address - Country:US
Practice Address - Phone:602-867-8837
Practice Address - Fax:602-867-2720
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD8045122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist