Provider Demographics
NPI:1336239656
Name:JOY, GRISHMA (MD)
Entity Type:Individual
Prefix:DR
First Name:GRISHMA
Middle Name:
Last Name:JOY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GRISHMA
Other - Middle Name:
Other - Last Name:JOSHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10710 CHARTER DR STE 110
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3258
Mailing Address - Country:US
Mailing Address - Phone:410-992-9797
Mailing Address - Fax:410-730-0942
Practice Address - Street 1:10710 CHARTER DR STE 110
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3258
Practice Address - Country:US
Practice Address - Phone:410-992-9797
Practice Address - Fax:410-730-0942
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-15
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0064949207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD563207200Medicaid