Provider Demographics
NPI:1245439785
Name:JOSHI, AMOL DHANANJAY (PHARM D)
Entity type:Individual
Prefix:DR
First Name:AMOL
Middle Name:DHANANJAY
Last Name:JOSHI
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10810 CONNECTICUT AVENUE
Mailing Address - Street 2:INTERNAL MEDICINE NORTH
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895
Mailing Address - Country:US
Mailing Address - Phone:301-929-7419
Mailing Address - Fax:
Practice Address - Street 1:10810 CONNECTICUT AVE
Practice Address - Street 2:INTERNAL MEDICINE NORTH
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2138
Practice Address - Country:US
Practice Address - Phone:301-929-7419
Practice Address - Fax:301-929-7203
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-14
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist