Provider Demographics
NPI:1376842997
Name:DOSHI, MAANSI V (DO)
Entity type:Individual
Prefix:DR
First Name:MAANSI
Middle Name:V
Last Name:DOSHI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3553 CAMINO MIRA COSTA STE D
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672-3512
Mailing Address - Country:US
Mailing Address - Phone:949-804-3021
Mailing Address - Fax:
Practice Address - Street 1:3553 CAMINO MIRA COSTA STE D
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-3512
Practice Address - Country:US
Practice Address - Phone:949-804-3021
Practice Address - Fax:949-289-9615
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-22
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A16239207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery