Provider Demographics
NPI:1982670709
Name:DOSHI, ASHOKKUMAR M (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHOKKUMAR
Middle Name:M
Last Name:DOSHI
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 1:7101 W HIGGINS AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60656-1903
Mailing Address - Country:US
Mailing Address - Phone:773-763-6260
Mailing Address - Fax:773-792-9119
Practice Address - Street 1:7101 W HIGGINS AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60656-1903
Practice Address - Country:US
Practice Address - Phone:773-763-6260
Practice Address - Fax:773-792-9119
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036045199208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036045199Medicaid
IL719800Medicare PIN
IL036045199Medicaid