Provider Demographics
NPI:1710955232
Name:JOSHI, SAROJ (MD)
Entity Type:Individual
Prefix:DR
First Name:SAROJ
Middle Name:
Last Name:JOSHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SAROJ
Other - Middle Name:
Other - Last Name:AHLUWALIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:131 ORNAC
Mailing Address - Street 2:590 JCB
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-4181
Mailing Address - Country:US
Mailing Address - Phone:978-369-7903
Mailing Address - Fax:978-369-7903
Practice Address - Street 1:131 ORNAC
Practice Address - Street 2:590 JCB
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-4181
Practice Address - Country:US
Practice Address - Phone:978-369-7903
Practice Address - Fax:978-369-7903
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA453562084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA54726Medicare UPIN
MAE05389Medicare ID - Type Unspecified