Provider Demographics
NPI:1639358575
Name:BHAVANK DOSHI, M.D, LLC
Entity Type:Organization
Organization Name:BHAVANK DOSHI, M.D, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BHAVANK
Authorized Official - Middle Name:V
Authorized Official - Last Name:DOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-381-1949
Mailing Address - Street 1:2100 JANE ST
Mailing Address - Street 2:NORTH SUITE 201, RTMB
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2075
Mailing Address - Country:US
Mailing Address - Phone:412-381-1949
Mailing Address - Fax:412-381-1965
Practice Address - Street 1:2100 JANE ST
Practice Address - Street 2:NORTH SUITE 201, RTMB
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-2075
Practice Address - Country:US
Practice Address - Phone:412-381-1949
Practice Address - Fax:412-381-1965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-28
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 063880-L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1388944OtherHIGHMARK
PA1020566160001Medicaid
PA1388944OtherHIGHMARK