Provider Demographics
NPI:1619185584
Name:JOSHI, AJAY KUMAR (MD, MRCP, FACC)
Entity Type:Individual
Prefix:
First Name:AJAY
Middle Name:KUMAR
Last Name:JOSHI
Suffix:
Gender:M
Credentials:MD, MRCP, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4921 GOLDEN FOOTHILL PKWY
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-9632
Mailing Address - Country:US
Mailing Address - Phone:916-597-2687
Mailing Address - Fax:916-932-4442
Practice Address - Street 1:4921 GOLDEN FOOTHILL PKWY
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-9632
Practice Address - Country:US
Practice Address - Phone:916-597-2687
Practice Address - Fax:916-932-4442
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA428900207RC0000X, 207R00000X, 207RI0011X
CAA100423207R00000X, 207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine