Provider Demographics
NPI:1659370369
Name:JOSHI, ASHU TOSH (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHU
Middle Name:TOSH
Last Name:JOSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 HIGHWAY 30 BYP
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40741-6139
Mailing Address - Country:US
Mailing Address - Phone:606-864-2179
Mailing Address - Fax:606-864-7484
Practice Address - Street 1:2135 HIGHWAY 30 BYP
Practice Address - Street 2:SUITE 1
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-6139
Practice Address - Country:US
Practice Address - Phone:606-864-2179
Practice Address - Fax:606-864-7484
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2023-03-07
Deactivation Date:2006-03-18
Deactivation Code:
Reactivation Date:2006-04-05
Provider Licenses
StateLicense IDTaxonomies
KY35777207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64027139Medicaid
KYBJ7040253OtherDEA NUMBER
KYBJ7040253OtherDEA NUMBER
KY7983-0798301Medicare ID - Type Unspecified