Provider Demographics
NPI:1760421804
Name:JOSHI, KAMAL K (MD)
Entity Type:Individual
Prefix:MR
First Name:KAMAL
Middle Name:K
Last Name:JOSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8228 CREEK HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-8575
Mailing Address - Country:US
Mailing Address - Phone:614-855-4519
Mailing Address - Fax:
Practice Address - Street 1:340 E TOWN ST
Practice Address - Street 2:SUITE 7-200
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4600
Practice Address - Country:US
Practice Address - Phone:614-221-2888
Practice Address - Fax:614-221-4899
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35044560208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0509944Medicaid
OH0337520OtherRAILROAD MEDICARE
OH0337520OtherRAILROAD MEDICARE
OH0509944Medicaid