Provider Demographics
NPI:1700849346
Name:JOSHI, JAI (MD)
Entity Type:Individual
Prefix:DR
First Name:JAI
Middle Name:
Last Name:JOSHI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11480 BROOKSHIRE AVE
Mailing Address - Street 2:SUITE 309
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-5025
Mailing Address - Country:US
Mailing Address - Phone:562-869-1201
Mailing Address - Fax:562-869-1281
Practice Address - Street 1:1701 W. ST. MARY'S ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2620
Practice Address - Country:US
Practice Address - Phone:520-585-5800
Practice Address - Fax:520-585-5827
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2017-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ53903207RH0003X
TN30542207RX0202X
TXG9127207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116212505Medicaid
TNQ006675Medicaid
TX8D8128Medicare PIN
TNQ006675Medicaid
TXC17649Medicare UPIN