Provider Demographics
NPI:1396769550
Name:BROWN, JOSHEL RABIA (DPM)
Entity type:Individual
Prefix:DR
First Name:JOSHEL
Middle Name:RABIA
Last Name:BROWN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4839
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48099-4839
Mailing Address - Country:US
Mailing Address - Phone:248-824-6600
Mailing Address - Fax:248-324-1477
Practice Address - Street 1:7800 SHOAL CREEK BLVD
Practice Address - Street 2:SUITE 120W-A
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1098
Practice Address - Country:US
Practice Address - Phone:512-323-0351
Practice Address - Fax:855-252-2429
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1677213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165507801Medicaid
TX610517Medicare PIN
TXU84732Medicare UPIN