Provider Demographics
NPI:1205888179
Name:DOSHI, AKANT (PT)
Entity type:Individual
Prefix:
First Name:AKANT
Middle Name:
Last Name:DOSHI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3204 ROCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-3507
Mailing Address - Country:US
Mailing Address - Phone:248-307-7155
Mailing Address - Fax:248-307-7154
Practice Address - Street 1:3204 ROCHESTER RD
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-3507
Practice Address - Country:US
Practice Address - Phone:248-307-7155
Practice Address - Fax:248-307-7154
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501010400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI650F358270OtherBLUE CROSS BLUE SHIELD