Provider Demographics
NPI:1154353258
Name:DOSHI, KALPANA H (MD)
Entity type:Individual
Prefix:DR
First Name:KALPANA
Middle Name:H
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 1:1650 45TH ST STE E
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-3960
Mailing Address - Country:US
Mailing Address - Phone:219-595-3369
Mailing Address - Fax:219-595-3369
Practice Address - Street 1:1650 45TH ST STE E
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-3960
Practice Address - Country:US
Practice Address - Phone:219-595-3369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2019-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01033026A207L00000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100323950Medicaid
IN10033950Medicaid
IND15530Medicare UPIN
IN100323950Medicaid