Provider Demographics
NPI:1790748895
Name:JOSHI, VINOD SHANKAR (MD)
Entity Type:Individual
Prefix:MR
First Name:VINOD
Middle Name:SHANKAR
Last Name:JOSHI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5552 KILBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-3829
Mailing Address - Country:US
Mailing Address - Phone:440-461-3570
Mailing Address - Fax:818-743-7433
Practice Address - Street 1:26900 CEDAR RD
Practice Address - Street 2:CCF ASC
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1191
Practice Address - Country:US
Practice Address - Phone:216-839-3542
Practice Address - Fax:216-839-3508
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35 042394207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology