Provider Demographics
NPI:1013929470
Name:JOSHI, MILAN KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:MILAN
Middle Name:KUMAR
Last Name:JOSHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5500 KNOLL NORTH DR
Mailing Address - Street 2:SUITE 290
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2370
Mailing Address - Country:US
Mailing Address - Phone:301-317-6575
Mailing Address - Fax:301-317-9376
Practice Address - Street 1:5500 KNOLL NORTH DR
Practice Address - Street 2:SUITE 290
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2370
Practice Address - Country:US
Practice Address - Phone:301-317-6575
Practice Address - Fax:301-317-9376
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00217242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD316161700Medicaid
MD316161700Medicaid
DC474576J20Medicare ID - Type UnspecifiedDC MEDICARE
D77736Medicare UPIN