Provider Demographics
NPI:1710953880
Name:DOSHI, MEGHMALA A (MD)
Entity Type:Individual
Prefix:DR
First Name:MEGHMALA
Middle Name:A
Last Name:DOSHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:931 GOLDENROD LN
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-4611
Mailing Address - Country:US
Mailing Address - Phone:847-735-0120
Mailing Address - Fax:847-735-9970
Practice Address - Street 1:3001 GREENBAY ROAD
Practice Address - Street 2:BLDG 133
Practice Address - City:NORTH CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60064
Practice Address - Country:US
Practice Address - Phone:847-688-1900
Practice Address - Fax:224-610-4415
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist