Provider Demographics
NPI:1659564862
Name:JOSHI, SUNIR (MD)
Entity Type:Individual
Prefix:
First Name:SUNIR
Middle Name:
Last Name:JOSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2900 W CYPRESS CREEK RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-1715
Mailing Address - Country:US
Mailing Address - Phone:954-917-2337
Mailing Address - Fax:954-917-2962
Practice Address - Street 1:2900 W CYPRESS CREEK RD
Practice Address - Street 2:SUITE 1
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1715
Practice Address - Country:US
Practice Address - Phone:954-977-0192
Practice Address - Fax:954-977-0197
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2014-08-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME102941207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002898500Medicaid
FL002898500Medicaid