Provider Demographics
NPI:1134297377
Name:DOSHI, RENU (MD)
Entity type:Individual
Prefix:
First Name:RENU
Middle Name:
Last Name:DOSHI
Suffix:
Gender:F
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:PO BOX 19305
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28219-9305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11530 PROVIDENCE RD
Practice Address - Street 2:STE 2200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2691
Practice Address - Country:US
Practice Address - Phone:704-667-6735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-02128208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2936377OtherAETNA
NJ2968447OtherAETNA
NJP2679425OtherOXFORD HEALTH PLAN D
NJ010004399 00OtherAMERICHOICE
NJ1171644OtherHORIZON NJ HEALTH
NJ38848OtherUNIVERSITY HEALTH PLAN
NJ8907005Medicaid
NJ1168572OtherHORIZON NJ HEALTH
NJ2334574OtherUNITED HELATH CARE
NJ2968446OtherAETNA
NJ1444169OtherAMERIHEALTH PPO PABS
NJ2127864000OtherAMERIHEALTH/KEYSTONE/IBC
NJ370022130OtherR.R. MEDICARE
NJ6764355OtherCIGNA
NJ3K5453OtherHEALTHNET, INC
SCNC1725Medicaid
NJ0000089179OtherOPERATING ENGINEERS
NC1134297377Medicaid
NC5916758Medicaid
NJ060577MB5Medicare PIN
NJ6764355OtherCIGNA
NJ8907005Medicaid