Provider Demographics
NPI:1679568331
Name:JOSHI, ASHOK K (MD)
Entity Type:Individual
Prefix:
First Name:ASHOK
Middle Name:K
Last Name:JOSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:221 BOSTON RD
Mailing Address - Street 2:STE 4
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-2321
Mailing Address - Country:US
Mailing Address - Phone:978-670-1300
Mailing Address - Fax:978-528-2024
Practice Address - Street 1:199 BOSTON RD
Practice Address - Street 2:
Practice Address - City:NORTH BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862-2328
Practice Address - Country:US
Practice Address - Phone:978-670-1300
Practice Address - Fax:978-528-2024
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-19
Last Update Date:2020-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA55726207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3010635Medicaid
MAM20423Medicare PIN
MA3010635Medicaid