Provider Demographics
NPI:1245248095
Name:JOSHI, SEEMA (MD)
Entity type:Individual
Prefix:
First Name:SEEMA
Middle Name:
Last Name:JOSHI
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 1:4101 S 4TH ST
Mailing Address - Street 2:DWIGHT D. EISENHOWER VA MEDICAL CENTER
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-5014
Mailing Address - Country:US
Mailing Address - Phone:913-682-2000
Mailing Address - Fax:913-758-4181
Practice Address - Street 1:4101 S 4TH ST
Practice Address - Street 2:DWIGHT D. EISENHOWER VA MEDICAL CENTER
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-5014
Practice Address - Country:US
Practice Address - Phone:913-682-2000
Practice Address - Fax:913-758-4181
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2003005869207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
13266OtherESSENCE
716484OtherHEALTHLINK
107087OtherHEALTH ALLIANCE
MO207210303Medicaid
245286OtherGROUP HEALTH PLAN
3991004OtherAETNA
199661OtherBLUE CROSS BLUE SHIELD
716484OtherHEALTHLINK
199661OtherBLUE CROSS BLUE SHIELD
3991004OtherAETNA